Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.95 / $109.95 / $109.95	Facility	26	$109.95	$109.95	$109.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.48 / $378.49 / $873.37	Professional		$340.48	$378.49	$873.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $105.17 / $128.40 / $200.98	Professional	26	$105.17	$128.40	$200.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $230.53 / $250.09 / $593.91	Professional	TC	$230.53	$250.09	$593.91
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $229.70 / $254.94 / $341.44	Facility	26	$229.70	$254.94	$341.44
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $356.05 / $678.58 / $2,451.44	Professional		$356.05	$678.58	$2,451.44
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $102.46 / $208.80 / $764.48	Professional	26	$102.46	$208.80	$764.48
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $241.95 / $476.82 / $1,717.44	Professional	TC	$241.95	$476.82	$1,717.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $499.53 / $687.76 / $1,300.20	Professional		$499.53	$687.76	$1,300.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $466.03 / $795.01 / $1,465.96	Professional		$466.03	$795.01	$1,465.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $138.82 / $211.25 / $382.87	Professional	26	$138.82	$211.25	$382.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $314.38 / $587.37 / $1,083.08	Professional	TC	$314.38	$587.37	$1,083.08
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $77.03 / $224.60 / $518.87	Professional		$77.03	$224.60	$518.87
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $418.20 / $829.04 / $1,111.58	Professional		$418.20	$829.04	$1,111.58
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $128.19 / $254.14 / $322.68	Professional	26	$128.19	$254.14	$322.68
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $290.00 / $574.90 / $729.93	Professional	TC	$290.00	$574.90	$729.93
Health New England Facility/Professional Professional Modifier Low / Median / High Price $139.41 / $154.00 / $598.83	Professional		$139.41	$154.00	$598.83
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $268.94 / $268.94 / $507.92	Facility	26	$268.94	$268.94	$507.92
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $411.26 / $685.62 / $2,451.44	Professional		$411.26	$685.62	$2,451.44
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $120.54 / $216.90 / $764.48	Professional	26	$120.54	$216.90	$764.48
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $292.11 / $535.12 / $1,717.44	Professional	TC	$292.11	$535.12	$1,717.44
United Facility/Professional Professional Modifier Low / Median / High Price $356.05 / $545.84 / $1,324.83	Professional		$356.05	$545.84	$1,324.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $105.19 / $166.23 / $383.83	Professional	26	$105.19	$166.23	$383.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $290.00 / $476.82 / $841.46	Professional	TC	$290.00	$476.82	$841.46