Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.10 / $37.10 / $69.01	Facility	26	$37.10	$37.10	$69.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.95 / $216.39 / $455.15	Professional		$182.95	$216.39	$455.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.46 / $37.10 / $106.48	Professional	26	$21.46	$37.10	$106.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $150.60 / $179.29 / $381.90	Professional	TC	$150.60	$179.29	$381.90
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $82.45 / $91.51 / $181.36	Facility	26	$82.45	$91.51	$181.36
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $208.51 / $405.97 / $1,588.86	Professional		$208.51	$405.97	$1,588.86
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $27.62 / $77.15 / $391.31	Professional	26	$27.62	$77.15	$391.31
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $171.20 / $369.36 / $1,456.72	Professional	TC	$171.20	$369.36	$1,456.72
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.41 / $70.89 / $108.37	Professional	26	$42.41	$70.89	$108.37
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $188.69 / $215.03 / $246.52	Professional	TC	$188.69	$215.03	$246.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.42 / $25.42 / $25.42	Facility	26	$25.42	$25.42	$25.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.62 / $370.65 / $622.58	Professional		$212.62	$370.65	$622.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.97 / $55.59 / $106.77	Professional	26	$30.97	$55.59	$106.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $174.52 / $331.07 / $519.04	Professional	TC	$174.52	$331.07	$519.04
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $27.07 / $132.02 / $312.69	Professional		$27.07	$132.02	$312.69
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $241.66 / $477.04 / $631.97	Professional		$241.66	$477.04	$631.97
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $45.88 / $89.83 / $119.98	Professional	26	$45.88	$89.83	$119.98
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $195.79 / $383.36 / $512.01	Professional	TC	$195.79	$383.36	$512.01
Health New England Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $53.00 / $77.66	Professional		$50.00	$53.00	$77.66
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $87.53 / $181.36 / $181.36	Facility	26	$87.53	$181.36	$181.36
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $221.68 / $417.03 / $1,588.86	Professional		$221.68	$417.03	$1,588.86
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $27.02 / $77.34 / $391.31	Professional	26	$27.02	$77.34	$391.31
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $199.50 / $395.82 / $1,456.72	Professional	TC	$199.50	$395.82	$1,456.72
United Facility/Professional Professional Modifier Low / Median / High Price $210.85 / $333.39 / $610.20	Professional		$210.85	$333.39	$610.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.17 / $54.45 / $109.34	Professional	26	$26.17	$54.45	$109.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $184.68 / $311.00 / $695.53	Professional	TC	$184.68	$311.00	$695.53