Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.79 / $57.79 / $129.38	Facility	26	$57.79	$57.79	$129.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.29 / $171.01 / $359.08	Professional		$92.29	$171.01	$359.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.71 / $59.28 / $127.39	Professional	26	$42.71	$59.28	$127.39
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $43.74 / $74.16 / $120.01	Professional	52	$43.74	$74.16	$120.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.90 / $112.65 / $158.51	Professional	TC	$48.90	$112.65	$158.51
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $95.94 / $102.90 / $333.99	Facility	26	$95.94	$102.90	$333.99
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $105.41 / $244.39 / $3,000.00	Professional		$105.41	$244.39	$3,000.00
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $46.19 / $95.94 / $870.13	Professional	26	$46.19	$95.94	$870.13
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $58.05 / $141.62 / $870.13	Professional	TC	$58.05	$141.62	$870.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.49 / $116.66 / $213.88	Professional		$33.49	$116.66	$213.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.33 / $82.49 / $109.63	Professional	26	$62.33	$82.49	$109.63
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $64.51 / $95.95 / $129.58	Professional	52	$64.51	$95.95	$129.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.12 / $224.68 / $394.47	Professional		$119.12	$224.68	$394.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.39 / $93.02 / $150.40	Professional	26	$50.39	$93.02	$150.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.73 / $131.62 / $253.09	Professional	TC	$63.73	$131.62	$253.09
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $30.37 / $65.54 / $148.06	Professional		$30.37	$65.54	$148.06
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $100.27 / $222.12 / $298.07	Professional		$100.27	$222.12	$298.07
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $52.84 / $104.75 / $134.11	Professional	26	$52.84	$104.75	$134.11
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $65.13 / $128.57 / $162.21	Professional	TC	$65.13	$128.57	$162.21
Health New England Facility/Professional Professional Modifier Low / Median / High Price $49.97 / $99.95 / $149.91	Professional		$49.97	$99.95	$149.91
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $102.90 / $102.90 / $333.99	Facility	26	$102.90	$102.90	$333.99
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $136.46 / $279.39 / $3,000.00	Professional		$136.46	$279.39	$3,000.00
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $50.81 / $105.28 / $870.13	Professional	26	$50.81	$105.28	$870.13
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $79.51 / $159.87 / $870.13	Professional	TC	$79.51	$159.87	$870.13
United Facility/Professional Professional Modifier Low / Median / High Price $123.40 / $237.36 / $424.35	Professional		$123.40	$237.36	$424.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.72 / $87.35 / $144.63	Professional	26	$49.72	$87.35	$144.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $76.45 / $138.78 / $247.81	Professional	TC	$76.45	$138.78	$247.81