Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.28 / $41.35 / $69.34	Facility	26	$37.28	$41.35	$69.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.77 / $253.98 / $995.26	Professional		$180.77	$253.98	$995.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.30 / $40.96 / $124.87	Professional	26	$28.30	$40.96	$124.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $151.80 / $186.61 / $511.75	Professional	TC	$151.80	$186.61	$511.75
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $83.43 / $92.60 / $210.00	Facility	26	$83.43	$92.60	$210.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $203.55 / $394.75 / $1,625.38	Professional		$203.55	$394.75	$1,625.38
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $33.36 / $76.65 / $422.69	Professional	26	$33.36	$76.65	$422.69
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $166.50 / $352.63 / $1,453.51	Professional	TC	$166.50	$352.63	$1,453.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.85 / $344.25 / $537.01	Professional		$28.85	$344.25	$537.01
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.64 / $69.73 / $94.46	Professional	26	$50.64	$69.73	$94.46
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $182.72 / $204.30 / $414.20	Professional	TC	$182.72	$204.30	$414.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.15 / $33.15 / $33.15	Facility	26	$33.15	$33.15	$33.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.69 / $366.06 / $628.84	Professional		$210.69	$366.06	$628.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.68 / $56.79 / $107.43	Professional	26	$35.68	$56.79	$107.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $171.19 / $318.58 / $508.27	Professional	TC	$171.19	$318.58	$508.27
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $125.81 / $299.58	Professional		$27.64	$125.81	$299.58
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $230.20 / $454.41 / $602.00	Professional		$230.20	$454.41	$602.00
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $45.88 / $89.83 / $119.98	Professional	26	$45.88	$89.83	$119.98
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $184.32 / $360.90 / $482.02	Professional	TC	$184.32	$360.90	$482.02
Health New England Facility/Professional Professional Modifier Low / Median / High Price $57.99 / $113.94 / $372.26	Professional		$57.99	$113.94	$372.26
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $87.82 / $210.00 / $210.00	Facility	26	$87.82	$210.00	$210.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $221.28 / $407.80 / $1,625.38	Professional		$221.28	$407.80	$1,625.38
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $34.46 / $77.02 / $422.69	Professional	26	$34.46	$77.02	$422.69
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $193.68 / $384.05 / $1,453.51	Professional	TC	$193.68	$384.05	$1,453.51
Tufts Facility/Professional Professional Modifier Low / Median / High Price $165.98 / $204.25 / $626.51	Professional		$165.98	$204.25	$626.51
United Facility/Professional Professional Modifier Low / Median / High Price $220.66 / $316.12 / $591.41	Professional		$220.66	$316.12	$591.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.36 / $55.30 / $143.94	Professional	26	$33.36	$55.30	$143.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $184.32 / $274.12 / $574.58	Professional	TC	$184.32	$274.12	$574.58