Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.23 / $77.23 / $145.84	Facility	26	$77.23	$77.23	$145.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.34 / $153.71 / $431.90	Professional		$126.34	$153.71	$431.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.04 / $83.58 / $231.70	Professional	26	$72.04	$83.58	$231.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.63 / $68.34 / $103.58	Professional	TC	$52.63	$68.34	$103.58
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $173.19 / $192.22 / $386.70	Facility	26	$173.19	$192.22	$386.70
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $131.80 / $242.77 / $874.03	Professional		$131.80	$242.77	$874.03
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $72.15 / $142.58 / $497.06	Professional	26	$72.15	$142.58	$497.06
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $59.95 / $119.75 / $376.97	Professional	TC	$59.95	$119.75	$376.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.71 / $267.00 / $373.40	Professional		$201.71	$267.00	$373.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $89.74 / $147.62 / $209.81	Professional	26	$89.74	$147.62	$209.81
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $83.33 / $116.96 / $155.44	Professional	TC	$83.33	$116.96	$155.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.90 / $204.41 / $440.74	Professional		$102.90	$204.41	$440.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.48 / $147.15 / $267.00	Professional	26	$85.48	$147.15	$267.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $66.00 / $124.52 / $213.62	Professional	TC	$66.00	$124.52	$213.62
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $41.73 / $88.43 / $193.72	Professional		$41.73	$88.43	$193.72
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $162.61 / $307.67 / $423.41	Professional		$162.61	$307.67	$423.41
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $95.03 / $180.27 / $239.19	Professional	26	$95.03	$180.27	$239.19
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $67.58 / $132.32 / $170.52	Professional	TC	$67.58	$132.32	$170.52
Health New England Facility/Professional Professional Modifier Low / Median / High Price $121.57 / $238.16 / $433.35	Professional		$121.57	$238.16	$433.35
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $180.18 / $180.18 / $386.70	Facility	26	$180.18	$180.18	$386.70
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $162.78 / $263.80 / $874.03	Professional		$162.78	$263.80	$874.03
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $85.86 / $153.37 / $497.06	Professional	26	$85.86	$153.37	$497.06
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $71.98 / $127.58 / $376.97	Professional	TC	$71.98	$127.58	$376.97
United Facility/Professional Professional Modifier Low / Median / High Price $148.69 / $222.05 / $419.42	Professional		$148.69	$222.05	$419.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.01 / $121.80 / $244.34	Professional	26	$83.01	$121.80	$244.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.42 / $101.40 / $194.66	Professional	TC	$66.42	$101.40	$194.66