Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $103.17 / $103.17 / $194.18	Facility	26	$103.17	$103.17	$194.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.50 / $203.90 / $565.60	Professional		$165.50	$203.90	$565.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $96.29 / $111.57 / $307.30	Professional	26	$96.29	$111.57	$307.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $68.17 / $87.24 / $136.05	Professional	TC	$68.17	$87.24	$136.05
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $230.11 / $255.40 / $514.76	Facility	26	$230.11	$255.40	$514.76
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $173.26 / $319.75 / $1,142.65	Professional		$173.26	$319.75	$1,142.65
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $96.09 / $189.90 / $663.65	Professional	26	$96.09	$189.90	$663.65
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $76.20 / $152.18 / $479.00	Professional	TC	$76.20	$152.18	$479.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.39 / $348.61 / $463.29	Professional		$263.39	$348.61	$463.29
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $119.48 / $196.54 / $279.33	Professional	26	$119.48	$196.54	$279.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $89.08 / $146.54 / $197.89	Professional	TC	$89.08	$146.54	$197.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.34 / $267.24 / $576.49	Professional		$114.34	$267.24	$576.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $113.85 / $196.76 / $355.28	Professional	26	$113.85	$196.76	$355.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $85.15 / $158.22 / $273.48	Professional	TC	$85.15	$158.22	$273.48
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $54.09 / $114.08 / $253.16	Professional		$54.09	$114.08	$253.16
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $212.58 / $403.26 / $541.87	Professional		$212.58	$403.26	$541.87
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $126.57 / $240.10 / $318.58	Professional	26	$126.57	$240.10	$318.58
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $86.02 / $163.18 / $216.66	Professional	TC	$86.02	$163.18	$216.66
Health New England Facility/Professional Professional Modifier Low / Median / High Price $166.03 / $317.54 / $565.97	Professional		$166.03	$317.54	$565.97
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $239.95 / $239.95 / $514.76	Facility	26	$239.95	$239.95	$514.76
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $346.79 / $1,142.65	Professional		$213.80	$346.79	$1,142.65
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $114.95 / $205.33 / $663.65	Professional	26	$114.95	$205.33	$663.65
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $92.45 / $164.06 / $479.00	Professional	TC	$92.45	$164.06	$479.00
United Facility/Professional Professional Modifier Low / Median / High Price $204.76 / $309.99 / $565.16	Professional		$204.76	$309.99	$565.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $111.16 / $153.13 / $300.44	Professional	26	$111.16	$153.13	$300.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $86.02 / $131.32 / $314.55	Professional	TC	$86.02	$131.32	$314.55