Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.90 / $43.90 / $43.90	Facility	26	$43.90	$43.90	$43.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.86 / $145.77 / $200.60	Professional		$113.86	$145.77	$200.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.09 / $46.88 / $126.09	Professional	26	$40.09	$46.88	$126.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $71.30 / $104.68 / $153.26	Professional	TC	$71.30	$104.68	$153.26
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $97.76 / $106.83 / $216.22	Facility	26	$97.76	$106.83	$216.22
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $120.71 / $233.87 / $944.58	Professional		$120.71	$233.87	$944.58
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $44.60 / $87.00 / $386.24	Professional	26	$44.60	$87.00	$386.24
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $79.36 / $165.60 / $782.04	Professional	TC	$79.36	$165.60	$782.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.42 / $241.43 / $320.85	Professional		$182.42	$241.43	$320.85
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.58 / $82.66 / $111.63	Professional	26	$55.58	$82.66	$111.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.34 / $259.50 / $446.27	Professional		$132.34	$259.50	$446.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.24 / $84.79 / $150.63	Professional	26	$48.24	$84.79	$150.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $83.34 / $174.71 / $295.07	Professional	TC	$83.34	$174.71	$295.07
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $78.69 / $178.49	Professional		$32.34	$78.69	$178.49
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $144.59 / $272.32 / $366.97	Professional		$144.59	$272.32	$366.97
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $53.66 / $101.79 / $135.06	Professional	26	$53.66	$101.79	$135.06
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $90.93 / $172.49 / $231.78	Professional	TC	$90.93	$172.49	$231.78
Health New England Facility/Professional Professional Modifier Low / Median / High Price $99.83 / $107.15 / $132.62	Professional		$99.83	$107.15	$132.62
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $102.69 / $102.69 / $216.22	Facility	26	$102.69	$102.69	$216.22
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $131.37 / $252.45 / $944.58	Professional		$131.37	$252.45	$944.58
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $50.23 / $92.47 / $386.24	Professional	26	$50.23	$92.47	$386.24
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $84.09 / $188.82 / $782.04	Professional	TC	$84.09	$188.82	$782.04
United Facility/Professional Professional Modifier Low / Median / High Price $129.62 / $202.79 / $385.48	Professional		$129.62	$202.79	$385.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.68 / $73.98 / $140.33	Professional	26	$48.68	$73.98	$140.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $79.36 / $133.31 / $249.29	Professional	TC	$79.36	$133.31	$249.29