Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.07 / $24.07 / $61.25	Facility	26	$24.07	$24.07	$61.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.27 / $125.74 / $260.94	Professional		$95.27	$125.74	$260.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.07 / $33.88 / $126.81	Professional	26	$24.07	$33.88	$126.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $65.98 / $100.25 / $206.54	Professional	TC	$65.98	$100.25	$206.54
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $54.92 / $80.22 / $174.33	Facility	26	$54.92	$80.22	$174.33
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $161.11 / $329.77 / $1,341.64	Professional		$161.11	$329.77	$1,341.64
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $26.15 / $51.79 / $375.24	Professional	26	$26.15	$51.79	$375.24
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $138.58 / $289.52 / $1,120.47	Professional	TC	$138.58	$289.52	$1,120.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.79 / $68.19 / $154.57	Professional	26	$50.79	$68.19	$154.57
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $102.09 / $142.75 / $142.75	Professional	TC	$102.09	$142.75	$142.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.46 / $307.76 / $505.11	Professional		$166.46	$307.76	$505.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.88 / $49.63 / $72.11	Professional	26	$26.88	$49.63	$72.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.66 / $262.36 / $434.62	Professional	TC	$134.66	$262.36	$434.62
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $104.87 / $250.42	Professional		$26.30	$104.87	$250.42
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $197.84 / $376.91 / $504.29	Professional		$197.84	$376.91	$504.29
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $43.42 / $85.02 / $109.29	Professional	26	$43.42	$85.02	$109.29
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $154.41 / $302.35 / $403.82	Professional	TC	$154.41	$302.35	$403.82
Health New England Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $39.22 / $74.72	Professional		$38.25	$39.22	$74.72
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $82.93 / $174.33 / $174.33	Facility	26	$82.93	$174.33	$174.33
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $174.00 / $332.26 / $1,341.64	Professional		$174.00	$332.26	$1,341.64
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $29.10 / $60.15 / $375.24	Professional	26	$29.10	$60.15	$375.24
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $153.52 / $303.95 / $1,120.47	Professional	TC	$153.52	$303.95	$1,120.47
United Facility/Professional Professional Modifier Low / Median / High Price $173.77 / $252.67 / $488.20	Professional		$173.77	$252.67	$488.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.84 / $43.41 / $92.53	Professional	26	$27.84	$43.41	$92.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $147.62 / $243.46 / $420.08	Professional	TC	$147.62	$243.46	$420.08