Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.96 / $37.96 / $70.61	Facility	26	$37.96	$37.96	$70.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.36 / $299.41 / $606.71	Professional		$239.36	$299.41	$606.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.10 / $40.90 / $98.06	Professional	26	$36.10	$40.90	$98.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $193.86 / $248.47 / $392.28	Professional	TC	$193.86	$248.47	$392.28
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $81.61 / $90.58 / $178.55	Facility	26	$81.61	$90.58	$178.55
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $259.83 / $447.92 / $1,627.28	Professional		$259.83	$447.92	$1,627.28
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $36.65 / $66.55 / $234.31	Professional	26	$36.65	$66.55	$234.31
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $226.29 / $445.11 / $1,392.98	Professional	TC	$226.29	$445.11	$1,392.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.19 / $516.32 / $1,170.39	Professional		$307.19	$516.32	$1,170.39
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.19 / $70.52 / $93.73	Professional	26	$42.19	$70.52	$93.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.70 / $423.62 / $724.60	Professional		$266.70	$423.62	$724.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.51 / $58.12 / $104.36	Professional	26	$39.51	$58.12	$104.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $226.49 / $364.00 / $620.13	Professional	TC	$226.49	$364.00	$620.13
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $27.45 / $169.12 / $396.18	Professional		$27.45	$169.12	$396.18
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $302.27 / $591.86 / $770.51	Professional		$302.27	$591.86	$770.51
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $46.28 / $90.62 / $121.03	Professional	26	$46.28	$90.62	$121.03
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $256.00 / $501.25 / $669.47	Professional	TC	$256.00	$501.25	$669.47
Health New England Facility/Professional Professional Modifier Low / Median / High Price $57.48 / $57.48 / $59.64	Professional		$57.48	$57.48	$59.64
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $86.46 / $178.55 / $178.55	Facility	26	$86.46	$178.55	$178.55
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $271.75 / $467.69 / $1,627.28	Professional		$271.75	$467.69	$1,627.28
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $39.70 / $71.69 / $234.31	Professional	26	$39.70	$71.69	$234.31
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $233.56 / $450.81 / $1,392.98	Professional	TC	$233.56	$450.81	$1,392.98
United Facility/Professional Professional Modifier Low / Median / High Price $271.75 / $416.49 / $792.92	Professional		$271.75	$416.49	$792.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.70 / $56.51 / $105.05	Professional	26	$39.70	$56.51	$105.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $226.76 / $346.34 / $687.87	Professional	TC	$226.76	$346.34	$687.87