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 $91.20 / $186.21 / $691.83	Professional		$91.20	$186.21	$691.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $81.28 / $245.47	Professional	26	$41.69	$81.28	$245.47
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $43.65 / $120.23 / $630.96	Professional	52	$43.65	$120.23	$630.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $95.50 / $190.55	Professional	TC	$45.71	$95.50	$190.55
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $104.71 / $331.13	Facility	26	$47.86	$104.71	$331.13
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $229.09 / $3,019.95	Professional		$95.50	$229.09	$3,019.95
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $87.10 / $870.96	Professional	26	$41.69	$87.10	$870.96
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $131.83 / $870.96	Professional	TC	$52.48	$131.83	$870.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $199.53 / $288.40	Professional		$117.49	$199.53	$288.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $81.28 / $112.20	Professional	26	$48.98	$81.28	$112.20
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $24.55 / $58.88 / $131.83	Professional	52	$24.55	$58.88	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $223.87 / $380.19	Professional		$112.20	$223.87	$380.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $89.13 / $141.25	Professional	26	$50.12	$89.13	$141.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $131.83 / $251.19	Professional	TC	$63.10	$131.83	$251.19
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $74.13 / $177.83	Professional		$33.88	$74.13	$177.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $151.36 / $295.12	Professional		$70.79	$151.36	$295.12
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $81.28 / $125.89	Professional	26	$45.71	$81.28	$125.89
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $123.03 / $173.78	Professional	TC	$60.26	$123.03	$173.78
Health New England Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $91.20 / $194.98	Professional		$50.12	$91.20	$194.98
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $104.71 / $331.13	Facility	26	$47.86	$104.71	$331.13
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $229.09 / $3,019.95	Professional		$95.50	$229.09	$3,019.95
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $89.13 / $870.96	Professional	26	$41.69	$89.13	$870.96
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $131.83 / $870.96	Professional	TC	$52.48	$131.83	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $234.42 / $346.74	Professional		$125.89	$234.42	$346.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $91.20 / $141.25	Professional	26	$48.98	$91.20	$141.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $131.83 / $213.80	Professional	TC	$72.44	$131.83	$213.80