Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.57 / $11.57 / $21.52	Facility	26	$11.57	$11.57	$21.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.91 / $121.68 / $242.40	Professional		$83.91	$121.68	$242.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.50 / $15.16 / $46.09	Professional	26	$11.50	$15.16	$46.09
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $37.93 / $56.24 / $113.00	Professional	52	$37.93	$56.24	$113.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $68.25 / $105.40 / $178.77	Professional	TC	$68.25	$105.40	$178.77
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $26.27 / $29.15 / $125.86	Facility	26	$26.27	$29.15	$125.86
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $86.62 / $171.06 / $789.60	Professional		$86.62	$171.06	$789.60
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $11.92 / $24.35 / $267.48	Professional	26	$11.92	$24.35	$267.48
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $74.70 / $162.24 / $717.62	Professional	TC	$74.70	$162.24	$717.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.51 / $176.54 / $281.27	Professional		$91.51	$176.54	$281.27
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.17 / $22.02 / $33.65	Professional	26	$13.17	$22.02	$33.65
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $10.41 / $81.28 / $137.34	Professional	52	$10.41	$81.28	$137.34
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $83.40 / $94.49 / $149.38	Professional	TC	$83.40	$94.49	$149.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.90 / $13.90 / $13.90	Facility	26	$13.90	$13.90	$13.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.90 / $158.91 / $270.49	Professional		$87.90	$158.91	$270.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.73 / $20.45 / $33.58	Professional	26	$12.73	$20.45	$33.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $76.95 / $146.09 / $232.92	Professional	TC	$76.95	$146.09	$232.92
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $8.56 / $56.54 / $134.44	Professional		$8.56	$56.54	$134.44
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $100.35 / $198.09 / $262.43	Professional		$100.35	$198.09	$262.43
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $14.34 / $28.08 / $37.50	Professional	26	$14.34	$28.08	$37.50
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $86.02 / $168.43 / $224.95	Professional	TC	$86.02	$168.43	$224.95
Health New England Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $35.49 / $132.71	Professional		$18.34	$35.49	$132.71
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $27.12 / $125.86 / $125.86	Facility	26	$27.12	$125.86	$125.86
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $101.46 / $180.72 / $789.60	Professional		$101.46	$180.72	$789.60
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $12.99 / $25.28 / $267.48	Professional	26	$12.99	$25.28	$267.48
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $87.60 / $180.54 / $717.62	Professional	TC	$87.60	$180.54	$717.62
Tufts Facility/Professional Professional Modifier Low / Median / High Price $89.47 / $107.36 / $175.31	Professional		$89.47	$107.36	$175.31
United Facility/Professional Professional Modifier Low / Median / High Price $93.72 / $142.77 / $252.76	Professional		$93.72	$142.77	$252.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.99 / $18.87 / $43.56	Professional	26	$12.99	$18.87	$43.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $87.60 / $136.75 / $219.10	Professional	TC	$87.60	$136.75	$219.10