Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.97 / $57.97 / $107.82	Facility	26	$57.97	$57.97	$107.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.97 / $200.13 / $559.83	Professional		$113.97	$200.13	$559.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.28 / $72.13 / $158.63	Professional	26	$57.28	$72.13	$158.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $53.11 / $109.25 / $164.71	Professional	TC	$53.11	$109.25	$164.71
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $129.72 / $143.97 / $352.88	Facility	26	$129.72	$143.97	$352.88
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $124.87 / $272.32 / $1,089.32	Professional		$124.87	$272.32	$1,089.32
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $59.89 / $119.58 / $369.36	Professional	26	$59.89	$119.58	$369.36
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $62.40 / $145.40 / $727.29	Professional	TC	$62.40	$145.40	$727.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.94 / $248.84 / $446.62	Professional		$160.94	$248.84	$446.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $80.25 / $112.75 / $149.82	Professional	26	$80.25	$112.75	$149.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $68.37 / $128.04 / $297.45	Professional	TC	$68.37	$128.04	$297.45
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.15 / $67.15 / $67.15	Facility	26	$67.15	$67.15	$67.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.82 / $244.91 / $398.80	Professional		$125.82	$244.91	$398.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.73 / $101.50 / $169.94	Professional	26	$62.73	$101.50	$169.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $62.99 / $128.41 / $230.53	Professional	TC	$62.99	$128.41	$230.53
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $38.39 / $79.59 / $179.47	Professional		$38.39	$79.59	$179.47
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $121.86 / $268.80 / $371.38	Professional		$121.86	$268.80	$371.38
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $72.09 / $141.15 / $188.52	Professional	26	$72.09	$141.15	$188.52
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $71.27 / $139.55 / $186.38	Professional	TC	$71.27	$139.55	$186.38
Health New England Facility/Professional Professional Modifier Low / Median / High Price $420.86 / $420.86 / $420.86	Professional		$420.86	$420.86	$420.86
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $139.35 / $352.88 / $352.88	Facility	26	$139.35	$352.88	$352.88
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $144.16 / $292.52 / $1,089.32	Professional		$144.16	$292.52	$1,089.32
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $63.16 / $123.53 / $369.36	Professional	26	$63.16	$123.53	$369.36
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $74.05 / $162.43 / $727.29	Professional	TC	$74.05	$162.43	$727.29
United Facility/Professional Professional Modifier Low / Median / High Price $141.44 / $219.07 / $393.88	Professional		$141.44	$219.07	$393.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.16 / $94.57 / $219.75	Professional	26	$63.16	$94.57	$219.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $71.27 / $119.87 / $230.40	Professional	TC	$71.27	$119.87	$230.40