Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.97 / $22.97 / $42.72	Facility	26	$22.97	$22.97	$42.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.22 / $181.63 / $307.00	Professional		$115.22	$181.63	$307.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.76 / $22.97 / $63.98	Professional	26	$18.76	$22.97	$63.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $96.10 / $162.12 / $254.72	Professional	TC	$96.10	$162.12	$254.72
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $51.91 / $57.61 / $174.32	Facility	26	$51.91	$57.61	$174.32
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $131.37 / $257.82 / $1,063.54	Professional		$131.37	$257.82	$1,063.54
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $22.00 / $47.69 / $303.79	Professional	26	$22.00	$47.69	$303.79
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $109.00 / $233.39 / $947.51	Professional	TC	$109.00	$233.39	$947.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.02 / $273.08 / $615.77	Professional		$265.02	$273.08	$615.77
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.99 / $42.80 / $57.80	Professional	26	$30.99	$42.80	$57.80
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $119.62 / $135.60 / $246.52	Professional	TC	$119.62	$135.60	$246.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.58 / $22.58 / $22.58	Facility	26	$22.58	$22.58	$22.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.06 / $250.87 / $391.76	Professional		$137.06	$250.87	$391.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.00 / $35.70 / $66.98	Professional	26	$23.00	$35.70	$66.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $113.00 / $209.90 / $344.71	Professional	TC	$113.00	$209.90	$344.71
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $82.88 / $199.97	Professional		$16.93	$82.88	$199.97
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $150.72 / $297.54 / $394.17	Professional		$150.72	$297.54	$394.17
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $28.26 / $55.33 / $73.90	Professional	26	$28.26	$55.33	$73.90
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $147.58 / $246.65 / $320.27	Professional	TC	$147.58	$246.65	$320.27
Health New England Facility/Professional Professional Modifier Low / Median / High Price $36.44 / $37.36 / $212.54	Professional		$36.44	$37.36	$212.54
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $53.90 / $174.32 / $174.32	Facility	26	$53.90	$174.32	$174.32
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $146.66 / $262.86 / $1,063.54	Professional		$146.66	$262.86	$1,063.54
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $23.04 / $48.56 / $303.79	Professional	26	$23.04	$48.56	$303.79
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $123.61 / $254.90 / $947.51	Professional	TC	$123.61	$254.90	$947.51
United Facility/Professional Professional Modifier Low / Median / High Price $143.55 / $228.05 / $466.35	Professional		$143.55	$228.05	$466.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.96 / $33.21 / $68.63	Professional	26	$22.96	$33.21	$68.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $115.57 / $192.94 / $422.34	Professional	TC	$115.57	$192.94	$422.34