Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.73 / $117.86 / $117.86	Facility	26	$87.73	$117.86	$117.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.00 / $319.75 / $491.71	Professional		$288.00	$319.75	$491.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.09 / $102.28 / $223.68	Professional	26	$84.09	$102.28	$223.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $200.28 / $231.34 / $366.01	Professional	TC	$200.28	$231.34	$366.01
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $183.91 / $204.11 / $270.93	Facility	26	$183.91	$204.11	$270.93
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $272.45 / $571.55 / $1,999.20	Professional		$272.45	$571.55	$1,999.20
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $81.31 / $168.60 / $684.00	Professional	26	$81.31	$168.60	$684.00
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $230.45 / $463.01 / $1,517.19	Professional	TC	$230.45	$463.01	$1,517.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.32 / $560.80 / $1,060.20	Professional		$407.32	$560.80	$1,060.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.76 / $666.99 / $1,208.84	Professional		$397.76	$666.99	$1,208.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.92 / $169.06 / $306.41	Professional	26	$110.92	$169.06	$306.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $288.19 / $489.41 / $902.44	Professional	TC	$288.19	$489.41	$902.44
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $61.60 / $184.60 / $429.38	Professional		$61.60	$184.60	$429.38
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $340.79 / $672.72 / $864.92	Professional		$340.79	$672.72	$864.92
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $102.40 / $203.00 / $257.74	Professional	26	$102.40	$203.00	$257.74
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $238.39 / $472.58 / $600.03	Professional	TC	$238.39	$472.58	$600.03
Health New England Facility/Professional Professional Modifier Low / Median / High Price $129.94 / $129.94 / $129.94	Professional		$129.94	$129.94	$129.94
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $215.81 / $215.81 / $406.32	Facility	26	$215.81	$215.81	$406.32
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $387.48 / $623.60 / $1,999.20	Professional		$387.48	$623.60	$1,999.20
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $95.18 / $194.43 / $684.00	Professional	26	$95.18	$194.43	$684.00
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $284.75 / $514.04 / $1,517.19	Professional	TC	$284.75	$514.04	$1,517.19
United Facility/Professional Professional Modifier Low / Median / High Price $340.79 / $565.37 / $1,173.40	Professional		$340.79	$565.37	$1,173.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $94.07 / $147.28 / $322.95	Professional	26	$94.07	$147.28	$322.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $249.13 / $406.70 / $850.43	Professional	TC	$249.13	$406.70	$850.43