Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.34 / $97.27 / $202.85	Facility	26	$68.34	$97.27	$202.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.08 / $454.64 / $1,787.32	Professional		$272.08	$454.64	$1,787.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.88 / $119.21 / $224.08	Professional	26	$72.88	$119.21	$224.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $199.21 / $335.00 / $491.97	Professional	TC	$199.21	$335.00	$491.97
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $163.28 / $505.36 / $635.84	Facility	26	$163.28	$505.36	$635.84
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $316.08 / $559.61 / $2,958.99	Professional		$316.08	$559.61	$2,958.99
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $62.63 / $107.90 / $548.98	Professional	26	$62.63	$107.90	$548.98
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $242.06 / $476.68 / $2,573.94	Professional	TC	$242.06	$476.68	$2,573.94
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.02 / $132.09 / $175.54	Professional	26	$79.02	$132.09	$175.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $548.38 / $785.76 / $1,060.73	Professional	TC	$548.38	$785.76	$1,060.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.08 / $599.90 / $953.86	Professional		$316.08	$599.90	$953.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.26 / $104.65 / $211.90	Professional	26	$69.26	$104.65	$211.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $253.12 / $481.02 / $814.52	Professional	TC	$253.12	$481.02	$814.52
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $88.84 / $296.60 / $524.28	Professional		$88.84	$296.60	$524.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $326.45 / $647.15 / $853.70	Professional		$326.45	$647.15	$853.70
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $84.79 / $169.11 / $221.73	Professional	26	$84.79	$169.11	$221.73
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $241.66 / $481.97 / $631.97	Professional	TC	$241.66	$481.97	$631.97
Health New England Facility/Professional Professional Modifier Low / Median / High Price $59.54 / $124.84 / $142.59	Professional		$59.54	$124.84	$142.59
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $505.36 / $635.84 / $635.84	Facility	26	$505.36	$635.84	$635.84
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $316.87 / $583.59 / $2,958.99	Professional		$316.87	$583.59	$2,958.99
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $70.23 / $111.93 / $548.98	Professional	26	$70.23	$111.93	$548.98
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $242.86 / $484.10 / $2,573.94	Professional	TC	$242.86	$484.10	$2,573.94
United Facility/Professional Professional Modifier Low / Median / High Price $313.26 / $463.90 / $805.73	Professional		$313.26	$463.90	$805.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.68 / $98.53 / $213.42	Professional	26	$67.68	$98.53	$213.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $236.02 / $381.59 / $650.26	Professional	TC	$236.02	$381.59	$650.26