Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.10 / $107.10 / $107.10	Facility	26	$107.10	$107.10	$107.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.68 / $567.35 / $1,485.00	Professional		$343.68	$567.35	$1,485.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $105.87 / $149.29 / $525.53	Professional	26	$105.87	$149.29	$525.53
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $150.02 / $320.01 / $434.85	Professional	52	$150.02	$320.01	$434.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.93 / $252.38 / $446.69	Professional	TC	$206.93	$252.38	$446.69
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $224.71 / $249.40 / $332.90	Facility	26	$224.71	$249.40	$332.90
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $354.70 / $684.68 / $2,444.00	Professional		$354.70	$684.68	$2,444.00
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $99.91 / $204.81 / $752.32	Professional	26	$99.91	$204.81	$752.32
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $243.18 / $489.45 / $1,747.81	Professional	TC	$243.18	$489.45	$1,747.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $497.52 / $684.99 / $1,294.96	Professional		$497.52	$684.99	$1,294.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $110.44 / $190.91 / $360.90	Professional	26	$110.44	$190.91	$360.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $471.65 / $793.39 / $1,462.96	Professional		$471.65	$793.39	$1,462.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $135.85 / $206.56 / $374.37	Professional	26	$135.85	$206.56	$374.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $323.67 / $590.37 / $1,088.59	Professional	TC	$323.67	$590.37	$1,088.59
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $75.48 / $225.24 / $516.80	Professional		$75.48	$225.24	$516.80
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $416.15 / $824.98 / $1,106.13	Professional		$416.15	$824.98	$1,106.13
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $125.34 / $248.47 / $315.48	Professional	26	$125.34	$248.47	$315.48
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $290.82 / $576.52 / $731.99	Professional	TC	$290.82	$576.52	$731.99
Health New England Facility/Professional Professional Modifier Low / Median / High Price $156.01 / $175.71 / $329.75	Professional		$156.01	$175.71	$329.75
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $265.11 / $265.11 / $498.13	Facility	26	$265.11	$265.11	$498.13
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $415.48 / $694.26 / $2,444.00	Professional		$415.48	$694.26	$2,444.00
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $118.20 / $212.28 / $752.32	Professional	26	$118.20	$212.28	$752.32
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $299.85 / $549.29 / $1,747.81	Professional	TC	$299.85	$549.29	$1,747.81
United Facility/Professional Professional Modifier Low / Median / High Price $377.71 / $548.22 / $1,257.08	Professional		$377.71	$548.22	$1,257.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $115.79 / $164.51 / $376.36	Professional	26	$115.79	$164.51	$376.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $238.91 / $424.47 / $965.93	Professional	TC	$238.91	$424.47	$965.93