Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.03 / $38.03 / $70.73	Facility	26	$38.03	$38.03	$70.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.85 / $240.93 / $767.88	Professional		$161.85	$240.93	$767.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.03 / $65.81 / $179.96	Professional	26	$38.03	$65.81	$179.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $117.20 / $168.81 / $557.55	Professional	TC	$117.20	$168.81	$557.55
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $83.25 / $92.40 / $251.76	Facility	26	$83.25	$92.40	$251.76
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $167.24 / $330.67 / $1,391.18	Professional		$167.24	$330.67	$1,391.18
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $39.99 / $81.69 / $344.84	Professional	26	$39.99	$81.69	$344.84
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $126.68 / $270.33 / $1,046.33	Professional	TC	$126.68	$270.33	$1,046.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.19 / $289.26 / $519.16	Professional		$30.19	$289.26	$519.16
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.41 / $71.45 / $94.95	Professional	26	$54.41	$71.45	$94.95
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $142.75 / $245.67 / $405.53	Professional	TC	$142.75	$245.67	$405.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.79 / $320.63 / $497.19	Professional		$173.79	$320.63	$497.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.65 / $75.77 / $128.07	Professional	26	$40.65	$75.77	$128.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.50 / $243.33 / $389.61	Professional	TC	$134.50	$243.33	$389.61
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $27.77 / $105.61 / $249.82	Professional		$27.77	$105.61	$249.82
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $193.74 / $379.34 / $493.84	Professional		$193.74	$379.34	$493.84
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 $147.87 / $291.89 / $386.69	Professional	TC	$147.87	$291.89	$386.69
Health New England Facility/Professional Professional Modifier Low / Median / High Price $58.93 / $95.00 / $249.42	Professional		$58.93	$95.00	$249.42
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $88.37 / $251.76 / $251.76	Facility	26	$88.37	$251.76	$251.76
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $194.51 / $344.80 / $1,391.18	Professional		$194.51	$344.80	$1,391.18
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $47.80 / $91.98 / $344.84	Professional	26	$47.80	$91.98	$344.84
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $148.16 / $291.13 / $1,046.33	Professional	TC	$148.16	$291.13	$1,046.33
Tufts Facility/Professional Professional Modifier Low / Median / High Price $151.61 / $207.97 / $237.00	Professional		$151.61	$207.97	$237.00
United Facility/Professional Professional Modifier Low / Median / High Price $193.72 / $282.27 / $655.41	Professional		$193.72	$282.27	$655.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.81 / $68.94 / $141.10	Professional	26	$43.81	$68.94	$141.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $135.18 / $209.87 / $387.03	Professional	TC	$135.18	$209.87	$387.03