Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.42 / $44.42 / $82.62	Facility	26	$44.42	$44.42	$82.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.63 / $252.59 / $574.45	Professional		$206.63	$252.59	$574.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.14 / $53.76 / $186.93	Professional	26	$44.14	$53.76	$186.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.49 / $198.37 / $481.16	Professional	TC	$162.49	$198.37	$481.16
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $100.09 / $111.08 / $221.73	Facility	26	$100.09	$111.08	$221.73
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $270.77 / $541.46 / $1,956.28	Professional		$270.77	$541.46	$1,956.28
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $46.04 / $91.79 / $588.72	Professional	26	$46.04	$91.79	$588.72
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $229.17 / $484.08 / $1,685.53	Professional	TC	$229.17	$484.08	$1,685.53
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.52 / $86.15 / $196.33	Professional	26	$64.52	$86.15	$196.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $246.14 / $306.63 / $306.63	Professional	TC	$246.14	$306.63	$306.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.23 / $53.23 / $53.23	Facility	26	$53.23	$53.23	$53.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.63 / $516.32 / $867.32	Professional		$270.63	$516.32	$867.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.19 / $77.23 / $131.78	Professional	26	$48.19	$77.23	$131.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $223.57 / $441.57 / $735.54	Professional	TC	$223.57	$441.57	$735.54
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $33.33 / $173.84 / $405.62	Professional		$33.33	$173.84	$405.62
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $314.57 / $596.74 / $801.84	Professional		$314.57	$596.74	$801.84
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $54.89 / $107.47 / $143.54	Professional	26	$54.89	$107.47	$143.54
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $259.69 / $508.47 / $679.12	Professional	TC	$259.69	$508.47	$679.12
Health New England Facility/Professional Professional Modifier Low / Median / High Price $68.77 / $68.77 / $73.06	Professional		$68.77	$68.77	$73.06
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $104.57 / $221.73 / $221.73	Facility	26	$104.57	$221.73	$221.73
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $277.89 / $553.10 / $1,956.28	Professional		$277.89	$553.10	$1,956.28
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $48.72 / $94.14 / $588.72	Professional	26	$48.72	$94.14	$588.72
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $244.67 / $490.99 / $1,685.53	Professional	TC	$244.67	$490.99	$1,685.53
United Facility/Professional Professional Modifier Low / Median / High Price $277.89 / $417.07 / $838.29	Professional		$277.89	$417.07	$838.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.72 / $72.39 / $130.99	Professional	26	$48.72	$72.39	$130.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $233.80 / $369.95 / $828.41	Professional	TC	$233.80	$369.95	$828.41