Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.28 / $81.28 / $162.18	Facility	26	$81.28	$81.28	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $398.11 / $1,148.15	Professional		$229.09	$398.11	$1,148.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $131.83 / $380.19	Professional	26	$79.43	$131.83	$380.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $194.98 / $489.78	Professional	TC	$138.04	$194.98	$489.78
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $181.97 / $199.53 / $524.81	Facility	26	$181.97	$199.53	$524.81
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $371.54 / $2,398.83	Professional		$223.87	$371.54	$2,398.83
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $123.03 / $524.81	Professional	26	$74.13	$123.03	$524.81
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $239.88 / $977.24	Professional	TC	$144.54	$239.88	$977.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $371.54 / $616.60	Professional		$218.78	$371.54	$616.60
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $138.04 / $208.93	Professional	26	$93.33	$138.04	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $407.38 / $707.95	Professional		$245.47	$407.38	$707.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $131.83 / $239.88	Professional	26	$85.11	$131.83	$239.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $269.15 / $478.63	Professional	TC	$162.18	$269.15	$478.63
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $416.87 / $707.95	Professional		$239.88	$416.87	$707.95
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $144.54 / $229.09	Professional	26	$87.10	$144.54	$229.09
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $275.42 / $426.58	Professional	TC	$162.18	$275.42	$426.58
Health New England Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $97.72 / $912.01	Professional		$95.50	$97.72	$912.01
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $181.97 / $199.53 / $524.81	Facility	26	$181.97	$199.53	$524.81
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $363.08 / $2,398.83	Professional		$229.09	$363.08	$2,398.83
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $123.03 / $524.81	Professional	26	$75.86	$123.03	$524.81
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $239.88 / $977.24	Professional	TC	$147.91	$239.88	$977.24
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $380.19 / $724.44	Professional		$239.88	$380.19	$724.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $131.83 / $257.04	Professional	26	$87.10	$131.83	$257.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $245.47 / $478.63	Professional	TC	$151.36	$245.47	$478.63