Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $57.54 / $114.82	Facility	26	$57.54	$57.54	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $190.55 / $549.54	Professional		$107.15	$190.55	$549.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $74.13 / $190.55	Professional	26	$53.70	$74.13	$190.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $69.18 / $194.98	Professional	TC	$52.48	$69.18	$194.98
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $144.54 / $371.54	Facility	26	$128.82	$144.54	$371.54
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $218.78 / $1,096.48	Professional		$109.65	$218.78	$1,096.48
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $95.50 / $371.54	Professional	26	$53.70	$95.50	$371.54
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $123.03 / $724.44	Professional	TC	$60.26	$123.03	$724.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $181.97 / $426.58	Professional		$77.62	$181.97	$426.58
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $114.82 / $177.83	Professional	26	$67.61	$114.82	$177.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $67.61 / $67.61	Facility	26	$67.61	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $223.87 / $398.11	Professional		$120.23	$223.87	$398.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $89.13 / $169.82	Professional	26	$58.88	$89.13	$169.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $120.23 / $234.42	Professional	TC	$58.88	$120.23	$234.42
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $87.10 / $204.17	Professional		$39.81	$87.10	$204.17
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $218.78 / $338.84	Professional		$125.89	$218.78	$338.84
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $102.33 / $165.96	Professional	26	$63.10	$102.33	$165.96
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $107.15 / $173.78	Professional	TC	$63.10	$107.15	$173.78
Health New England Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $144.54 / $371.54	Facility	26	$128.82	$144.54	$371.54
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $218.78 / $1,096.48	Professional		$109.65	$218.78	$1,096.48
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $93.33 / $371.54	Professional	26	$53.70	$93.33	$371.54
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $120.23 / $724.44	Professional	TC	$60.26	$120.23	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $218.78 / $363.08	Professional		$125.89	$218.78	$363.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $95.50 / $169.82	Professional	26	$61.66	$95.50	$169.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $120.23 / $199.53	Professional	TC	$61.66	$120.23	$199.53