Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.29 / $81.29 / $151.19	Facility	26	$81.29	$81.29	$151.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.36 / $327.84 / $969.00	Professional		$252.36	$327.84	$969.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.29 / $116.62 / $289.98	Professional	26	$81.29	$116.62	$289.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $154.16 / $194.26 / $408.52	Professional	TC	$154.16	$194.26	$408.52
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $180.26 / $200.07 / $399.24	Facility	26	$180.26	$200.07	$399.24
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $239.27 / $463.12 / $2,380.40	Professional		$239.27	$463.12	$2,380.40
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $86.50 / $164.57 / $520.19	Professional	26	$86.50	$164.57	$520.19
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $154.86 / $300.88 / $982.86	Professional	TC	$154.86	$300.88	$982.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.22 / $494.64 / $686.93	Professional		$309.22	$494.64	$686.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $92.61 / $151.86 / $205.73	Professional	26	$92.61	$151.86	$205.73
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $179.15 / $239.69 / $251.13	Professional	TC	$179.15	$239.69	$251.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.47 / $472.89 / $733.26	Professional		$276.47	$472.89	$733.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.84 / $157.46 / $253.90	Professional	26	$93.84	$157.46	$253.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $180.62 / $315.29 / $485.53	Professional	TC	$180.62	$315.29	$485.53
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $60.20 / $151.62 / $349.87	Professional		$60.20	$151.62	$349.87
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $206.43 / $528.38 / $736.94	Professional		$206.43	$528.38	$736.94
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $99.12 / $194.08 / $259.20	Professional	26	$99.12	$194.08	$259.20
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $182.68 / $360.61 / $477.73	Professional	TC	$182.68	$360.61	$477.73
Health New England Facility/Professional Professional Modifier Low / Median / High Price $127.34 / $234.82 / $385.79	Professional		$127.34	$234.82	$385.79
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $192.51 / $399.24 / $399.24	Facility	26	$192.51	$399.24	$399.24
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $274.73 / $488.79 / $2,380.40	Professional		$274.73	$488.79	$2,380.40
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $94.03 / $168.88 / $520.19	Professional	26	$94.03	$168.88	$520.19
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $177.13 / $313.79 / $982.86	Professional	TC	$177.13	$313.79	$982.86
Tufts Facility/Professional Professional Modifier Low / Median / High Price $196.01 / $218.94 / $339.32	Professional		$196.01	$218.94	$339.32
United Facility/Professional Professional Modifier Low / Median / High Price $255.50 / $378.31 / $789.78	Professional		$255.50	$378.31	$789.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.75 / $163.18 / $267.63	Professional	26	$91.75	$163.18	$267.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $158.31 / $256.81 / $559.51	Professional	TC	$158.31	$256.81	$559.51