Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.84 / $67.86 / $126.22	Facility	26	$67.84	$67.86	$126.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.54 / $254.77 / $600.14	Professional		$190.54	$254.77	$600.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.86 / $97.35 / $311.94	Professional	26	$67.86	$97.35	$311.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $118.17 / $177.78 / $293.98	Professional	TC	$118.17	$177.78	$293.98
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $149.88 / $166.35 / $557.91	Facility	26	$149.88	$166.35	$557.91
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $177.10 / $377.63 / $1,677.02	Professional		$177.10	$377.63	$1,677.02
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $72.45 / $146.08 / $718.23	Professional	26	$72.45	$146.08	$718.23
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $99.13 / $277.47 / $985.97	Professional	TC	$99.13	$277.47	$985.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.18 / $123.18 / $167.16	Professional		$123.18	$123.18	$167.16
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $92.10 / $126.81 / $171.79	Professional	26	$92.10	$126.81	$171.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $187.04 / $187.04 / $218.37	Professional	TC	$187.04	$187.04	$218.37
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.18 / $86.18 / $86.18	Facility	26	$86.18	$86.18	$86.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.33 / $375.55 / $592.04	Professional		$193.33	$375.55	$592.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.89 / $130.91 / $217.47	Professional	26	$74.89	$130.91	$217.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $124.07 / $246.49 / $380.08	Professional	TC	$124.07	$246.49	$380.08
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $49.35 / $121.43 / $278.17	Professional		$49.35	$121.43	$278.17
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $224.05 / $444.16 / $595.52	Professional		$224.05	$444.16	$595.52
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $82.74 / $163.33 / $216.37	Professional	26	$82.74	$163.33	$216.37
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $141.31 / $278.95 / $369.54	Professional	TC	$141.31	$278.95	$369.54
Health New England Facility/Professional Professional Modifier Low / Median / High Price $105.85 / $137.31 / $166.00	Professional		$105.85	$137.31	$166.00
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $160.72 / $557.91 / $557.91	Facility	26	$160.72	$557.91	$557.91
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $188.49 / $407.76 / $1,677.02	Professional		$188.49	$407.76	$1,677.02
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $78.48 / $162.25 / $718.23	Professional	26	$78.48	$162.25	$718.23
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $109.51 / $298.77 / $985.97	Professional	TC	$109.51	$298.77	$985.97
United Facility/Professional Professional Modifier Low / Median / High Price $188.49 / $292.87 / $632.25	Professional		$188.49	$292.87	$632.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.90 / $105.96 / $224.27	Professional	26	$72.90	$105.96	$224.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $103.45 / $193.48 / $443.56	Professional	TC	$103.45	$193.48	$443.56