Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.93 / $163.93 / $1,507.87	Facility		$163.93	$163.93	$1,507.87
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.02 / $23.02 / $38.54	Facility	26	$23.02	$23.02	$38.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.18 / $135.68 / $223.86	Professional		$104.18	$135.68	$223.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.77 / $22.28 / $34.11	Professional	26	$11.77	$22.28	$34.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $109.21 / $189.87	Professional	TC	$91.20	$109.21	$189.87
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $263.79 / $708.89 / $708.89	Facility		$263.79	$708.89	$708.89
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $52.72 / $107.64 / $107.64	Facility	26	$52.72	$107.64	$107.64
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $153.53 / $276.19 / $1,230.05	Professional		$153.53	$276.19	$1,230.05
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $16.78 / $41.17 / $198.13	Professional	26	$16.78	$41.17	$198.13
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $134.30 / $259.05 / $1,157.00	Professional	TC	$134.30	$259.05	$1,157.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $189.13 / $228.76 / $383.41	Facility		$189.13	$228.76	$383.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.78 / $270.20 / $285.73	Professional		$164.78	$270.20	$285.73
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.23 / $42.44 / $56.38	Professional	26	$30.23	$42.44	$56.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $139.40 / $228.59 / $241.72	Professional	TC	$139.40	$228.59	$241.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.00 / $207.82 / $208.37	Facility		$199.00	$207.82	$208.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.63 / $256.74 / $468.46	Professional		$160.63	$256.74	$468.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.82 / $32.01 / $64.84	Professional	26	$14.82	$32.01	$64.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $137.77 / $229.52 / $413.26	Professional	TC	$137.77	$229.52	$413.26
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $15.42 / $94.18 / $224.75	Professional		$15.42	$94.18	$224.75
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $177.77 / $333.32 / $442.75	Professional		$177.77	$333.32	$442.75
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $27.85 / $52.22 / $69.36	Professional	26	$27.85	$52.22	$69.36
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $149.91 / $281.08 / $373.37	Professional	TC	$149.91	$281.08	$373.37
Health New England Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $68.18 / $236.95	Professional		$29.00	$68.18	$236.95
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $263.79 / $708.89 / $708.89	Facility		$263.79	$708.89	$708.89
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $52.72 / $107.64 / $107.64	Facility	26	$52.72	$107.64	$107.64
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $165.51 / $305.77 / $1,230.05	Professional		$165.51	$305.77	$1,230.05
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $16.37 / $41.64 / $198.13	Professional	26	$16.37	$41.64	$198.13
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $141.22 / $267.79 / $1,157.00	Professional	TC	$141.22	$267.79	$1,157.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.43 / $228.54 / $442.75	Professional		$158.43	$228.54	$442.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.53 / $31.34 / $62.69	Professional	26	$13.53	$31.34	$62.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $132.83 / $204.78 / $374.27	Professional	TC	$132.83	$204.78	$374.27