Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $52.48 / $74.13	Facility	26	$37.15	$52.48	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $269.15 / $870.96	Professional		$169.82	$269.15	$870.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $47.86 / $117.49	Professional	26	$33.88	$47.86	$117.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $204.17 / $524.81	Professional	TC	$138.04	$204.17	$524.81
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $93.33 / $239.88	Facility	26	$83.18	$93.33	$239.88
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $309.03 / $1,621.81	Professional		$181.97	$309.03	$1,621.81
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $54.95 / $426.58	Professional	26	$29.51	$54.95	$426.58
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $275.42 / $1,445.44	Professional	TC	$154.88	$275.42	$1,445.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $426.58 / $562.34	Professional		$245.47	$426.58	$562.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $69.18 / $97.72	Professional	26	$42.66	$69.18	$97.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $33.11 / $33.11	Facility	26	$33.11	$33.11	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $602.56	Professional		$194.98	$309.03	$602.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $52.48 / $107.15	Professional	26	$34.67	$52.48	$107.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $263.03 / $512.86	Professional	TC	$154.88	$263.03	$512.86
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $131.83 / $331.13	Professional		$29.51	$131.83	$331.13
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $346.74 / $549.54	Professional		$204.17	$346.74	$549.54
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $66.07 / $102.33	Professional	26	$38.02	$66.07	$102.33
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $309.03 / $446.68	Professional	TC	$154.88	$309.03	$446.68
Health New England Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $75.86 / $371.54	Professional		$58.88	$75.86	$371.54
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $93.33 / $239.88	Facility	26	$83.18	$93.33	$239.88
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $309.03 / $1,621.81	Professional		$181.97	$309.03	$1,621.81
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $54.95 / $426.58	Professional	26	$29.51	$54.95	$426.58
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $275.42 / $1,445.44	Professional	TC	$162.18	$275.42	$1,445.44
Tufts Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $234.42 / $346.74	Professional		$199.53	$234.42	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $316.23 / $575.44	Professional		$204.17	$316.23	$575.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $54.95 / $109.65	Professional	26	$33.11	$54.95	$109.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $269.15 / $478.63	Professional	TC	$162.18	$269.15	$478.63