Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.04 / $55.05 / $96.40	Facility	26	$55.04	$55.05	$96.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.02 / $372.06 / $803.16	Professional		$286.02	$372.06	$803.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.55 / $60.97 / $180.84	Professional	26	$50.55	$60.97	$180.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $229.40 / $316.08 / $626.12	Professional	TC	$229.40	$316.08	$626.12
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $123.70 / $135.18 / $276.20	Facility	26	$123.70	$135.18	$276.20
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $234.51 / $698.37 / $2,452.27	Professional		$234.51	$698.37	$2,452.27
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $56.96 / $109.16 / $354.09	Professional	26	$56.96	$109.16	$354.09
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $261.94 / $632.36 / $2,098.17	Professional	TC	$261.94	$632.36	$2,098.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $538.28 / $800.61 / $1,081.18	Professional		$538.28	$800.61	$1,081.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.93 / $107.21 / $142.46	Professional	26	$70.93	$107.21	$142.46
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $467.35 / $695.11 / $938.72	Professional	TC	$467.35	$695.11	$938.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.56 / $733.81 / $1,283.08	Professional		$335.56	$733.81	$1,283.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.85 / $106.78 / $190.97	Professional	26	$59.85	$106.78	$190.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $226.72 / $623.88 / $1,091.73	Professional	TC	$226.72	$623.88	$1,091.73
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $41.39 / $267.68 / $618.25	Professional		$41.39	$267.68	$618.25
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $475.96 / $898.18 / $1,188.64	Professional		$475.96	$898.18	$1,188.64
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $67.98 / $128.97 / $171.13	Professional	26	$67.98	$128.97	$171.13
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $407.96 / $798.79 / $1,026.83	Professional	TC	$407.96	$798.79	$1,026.83
Health New England Facility/Professional Professional Modifier Low / Median / High Price $87.51 / $118.53 / $175.13	Professional		$87.51	$118.53	$175.13
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $128.97 / $128.97 / $276.20	Facility	26	$128.97	$128.97	$276.20
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $249.25 / $719.71 / $2,452.27	Professional		$249.25	$719.71	$2,452.27
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $60.90 / $116.94 / $354.09	Professional	26	$60.90	$116.94	$354.09
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $244.76 / $678.04 / $2,098.17	Professional	TC	$244.76	$678.04	$2,098.17
United Facility/Professional Professional Modifier Low / Median / High Price $225.13 / $516.74 / $1,210.51	Professional		$225.13	$516.74	$1,210.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.19 / $82.31 / $191.56	Professional	26	$59.19	$82.31	$191.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $188.69 / $475.78 / $1,053.31	Professional	TC	$188.69	$475.78	$1,053.31