Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.15 / $23.15 / $43.06	Facility	26	$23.15	$23.15	$43.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.24 / $246.89 / $753.64	Professional		$150.24	$246.89	$753.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.15 / $29.92 / $96.41	Professional	26	$23.15	$29.92	$96.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $124.45 / $212.43 / $346.68	Professional	TC	$124.45	$212.43	$346.68
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $52.12 / $57.85 / $236.27	Facility	26	$52.12	$57.85	$236.27
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $166.73 / $331.96 / $1,470.69	Professional		$166.73	$331.96	$1,470.69
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $24.11 / $47.61 / $293.89	Professional	26	$24.11	$47.61	$293.89
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $314.58 / $1,323.51	Professional	TC	$144.54	$314.58	$1,323.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.30 / $353.65 / $566.16	Professional		$209.30	$353.65	$566.16
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.10 / $44.20 / $58.74	Professional	26	$33.10	$44.20	$58.74
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $182.86 / $182.86 / $473.92	Professional	TC	$182.86	$182.86	$473.92
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.93 / $27.93 / $27.93	Facility	26	$27.93	$27.93	$27.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.77 / $301.48 / $519.12	Professional		$170.77	$301.48	$519.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.65 / $40.61 / $67.30	Professional	26	$25.65	$40.61	$67.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $148.91 / $269.06 / $480.37	Professional	TC	$148.91	$269.06	$480.37
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $17.19 / $109.63 / $259.70	Professional		$17.19	$109.63	$259.70
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $195.38 / $380.17 / $498.02	Professional		$195.38	$380.17	$498.02
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $28.67 / $56.14 / $74.97	Professional	26	$28.67	$56.14	$74.97
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $166.71 / $326.42 / $435.96	Professional	TC	$166.71	$326.42	$435.96
Health New England Facility/Professional Professional Modifier Low / Median / High Price $36.68 / $42.20 / $242.23	Professional		$36.68	$42.20	$242.23
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $54.52 / $236.27 / $236.27	Facility	26	$54.52	$236.27	$236.27
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $189.44 / $340.69 / $1,470.69	Professional		$189.44	$340.69	$1,470.69
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $25.26 / $49.19 / $293.89	Professional	26	$25.26	$49.19	$293.89
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $168.32 / $343.73 / $1,323.51	Professional	TC	$168.32	$343.73	$1,323.51
United Facility/Professional Professional Modifier Low / Median / High Price $176.38 / $274.82 / $599.14	Professional		$176.38	$274.82	$599.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.54 / $38.29 / $71.41	Professional	26	$24.54	$38.29	$71.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $159.38 / $253.82 / $511.78	Professional	TC	$159.38	$253.82	$511.78