Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.73 / $78.73 / $78.73	Facility	26	$78.73	$78.73	$78.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.08 / $158.63 / $254.57	Professional		$130.08	$158.63	$254.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.61 / $82.20 / $124.21	Professional	26	$71.61	$82.20	$124.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.39 / $79.30 / $130.10	Professional	TC	$51.39	$79.30	$130.10
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $177.49 / $193.96 / $394.16	Facility	26	$177.49	$193.96	$394.16
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $132.90 / $287.25 / $1,053.48	Professional		$132.90	$287.25	$1,053.48
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $81.18 / $157.10 / $509.36	Professional	26	$81.18	$157.10	$509.36
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $61.89 / $175.98 / $544.05	Professional	TC	$61.89	$175.98	$544.05
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $101.24 / $150.58 / $203.36	Professional	26	$101.24	$150.58	$203.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.29 / $245.82 / $530.29	Professional		$99.29	$245.82	$530.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.65 / $153.63 / $273.69	Professional	26	$87.65	$153.63	$273.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $64.15 / $168.87 / $307.86	Professional	TC	$64.15	$168.87	$307.86
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $50.13 / $103.60 / $221.61	Professional		$50.13	$103.60	$221.61
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $189.24 / $354.82 / $479.46	Professional		$189.24	$354.82	$479.46
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $97.08 / $190.08 / $244.35	Professional	26	$97.08	$190.08	$244.35
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $92.16 / $174.83 / $234.92	Professional	TC	$92.16	$174.83	$234.92
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $183.99 / $183.99 / $394.16	Facility	26	$183.99	$183.99	$394.16
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $142.66 / $336.77 / $1,053.48	Professional		$142.66	$336.77	$1,053.48
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $88.02 / $166.90 / $509.36	Professional	26	$88.02	$166.90	$509.36
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $53.92 / $177.87 / $544.05	Professional	TC	$53.92	$177.87	$544.05
United Facility/Professional Professional Modifier Low / Median / High Price $133.44 / $234.81 / $498.01	Professional		$133.44	$234.81	$498.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.17 / $118.13 / $230.21	Professional	26	$85.17	$118.13	$230.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.00 / $129.36 / $268.14	Professional	TC	$43.00	$129.36	$268.14