Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.07 / $44.08 / $83.57	Facility	26	$44.07	$44.08	$83.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $105.52 / $418.00	Professional		$84.00	$105.52	$418.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.70 / $52.65 / $236.10	Professional	26	$42.70	$52.65	$236.10
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $182.88 / $325.39 / $325.39	Professional	50	$182.88	$325.39	$325.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.04 / $50.63 / $100.10	Professional	TC	$40.04	$50.63	$100.10
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $99.61 / $110.55 / $221.59	Facility	26	$99.61	$110.55	$221.59
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $95.79 / $165.69 / $641.76	Professional		$95.79	$165.69	$641.76
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $45.10 / $82.22 / $283.72	Professional	26	$45.10	$82.22	$283.72
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $48.67 / $93.24 / $358.05	Professional	TC	$48.67	$93.24	$358.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.81 / $190.36 / $247.73	Professional		$143.81	$190.36	$247.73
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.43 / $84.60 / $120.24	Professional	26	$51.43	$84.60	$120.24
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $74.92 / $104.36 / $138.69	Professional	TC	$74.92	$104.36	$138.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.59 / $153.05 / $325.52	Professional		$89.59	$153.05	$325.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.80 / $86.59 / $153.22	Professional	26	$50.80	$86.59	$153.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.85 / $95.72 / $174.89	Professional	TC	$53.85	$95.72	$174.89
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $30.03 / $63.30 / $134.69	Professional		$30.03	$63.30	$134.69
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $114.69 / $216.43 / $288.89	Professional		$114.69	$216.43	$288.89
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $54.48 / $106.67 / $138.27	Professional	26	$54.48	$106.67	$138.27
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $60.21 / $114.22 / $153.47	Professional	TC	$60.21	$114.22	$153.47
Health New England Facility/Professional Professional Modifier Low / Median / High Price $80.29 / $174.00 / $361.02	Professional		$80.29	$174.00	$361.02
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $103.27 / $103.27 / $221.59	Facility	26	$103.27	$103.27	$221.59
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $108.28 / $179.00 / $641.76	Professional		$108.28	$179.00	$641.76
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $51.39 / $87.48 / $283.72	Professional	26	$51.39	$87.48	$283.72
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $54.75 / $99.82 / $358.05	Professional	TC	$54.75	$99.82	$358.05
Tufts Facility/Professional Professional Modifier Low / Median / High Price $75.23 / $102.19 / $190.10	Professional		$75.23	$102.19	$190.10
United Facility/Professional Professional Modifier Low / Median / High Price $101.62 / $150.96 / $361.40	Professional		$101.62	$150.96	$361.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.28 / $72.20 / $128.77	Professional	26	$47.28	$72.20	$128.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.62 / $79.59 / $179.53	Professional	TC	$52.62	$79.59	$179.53