Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.34 / $23.34 / $43.41	Facility	26	$23.34	$23.34	$43.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.15 / $134.32 / $324.58	Professional		$105.15	$134.32	$324.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.49 / $23.34 / $82.17	Professional	26	$14.49	$23.34	$82.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $95.53 / $112.01 / $238.26	Professional	TC	$95.53	$112.01	$238.26
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $50.12 / $55.63 / $109.96	Facility	26	$50.12	$55.63	$109.96
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $131.37 / $255.89 / $1,049.58	Professional		$131.37	$255.89	$1,049.58
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $17.63 / $46.86 / $203.09	Professional	26	$17.63	$46.86	$203.09
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $109.37 / $233.20 / $960.39	Professional	TC	$109.37	$233.20	$960.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.71 / $277.57 / $464.31	Professional		$181.71	$277.57	$464.31
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.18 / $42.97 / $57.09	Professional	26	$32.18	$42.97	$57.09
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $134.71 / $134.71 / $156.01	Professional	TC	$134.71	$134.71	$156.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.03 / $17.03 / $17.03	Facility	26	$17.03	$17.03	$17.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.59 / $246.71 / $388.81	Professional		$136.59	$246.71	$388.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.23 / $34.02 / $65.81	Professional	26	$20.23	$34.02	$65.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $112.11 / $210.60 / $347.41	Professional	TC	$112.11	$210.60	$347.41
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $81.94 / $194.07	Professional		$16.39	$81.94	$194.07
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $149.91 / $293.52 / $392.03	Professional		$149.91	$293.52	$392.03
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $27.85 / $54.53 / $72.83	Professional	26	$27.85	$54.53	$72.83
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $122.06 / $240.95 / $319.20	Professional	TC	$122.06	$240.95	$319.20
Health New England Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $35.78 / $194.69	Professional		$34.11	$35.78	$194.69
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $53.56 / $109.96 / $109.96	Facility	26	$53.56	$109.96	$109.96
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $147.19 / $263.08 / $1,049.58	Professional		$147.19	$263.08	$1,049.58
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $17.97 / $47.38 / $203.09	Professional	26	$17.97	$47.38	$203.09
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $126.20 / $253.23 / $960.39	Professional	TC	$126.20	$253.23	$960.39
United Facility/Professional Professional Modifier Low / Median / High Price $141.51 / $227.66 / $465.07	Professional		$141.51	$227.66	$465.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.35 / $32.79 / $65.37	Professional	26	$17.35	$32.79	$65.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $124.76 / $191.66 / $425.24	Professional	TC	$124.76	$191.66	$425.24