Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $114.82 / $275.42	Facility	26	$67.61	$114.82	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $478.63 / $1,737.80	Professional		$275.42	$478.63	$1,737.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $141.25 / $380.19	Professional	26	$72.44	$141.25	$380.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $338.84 / $1,230.27	Professional	TC	$204.17	$338.84	$1,230.27
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $162.18 / $630.96 / $630.96	Facility	26	$162.18	$630.96	$630.96
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $489.78 / $2,951.21	Professional		$316.23	$489.78	$2,951.21
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $97.72 / $549.54	Professional	26	$60.26	$97.72	$549.54
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $416.87 / $2,570.40	Professional	TC	$239.88	$416.87	$2,570.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $954.99 / $1,258.93	Professional		$549.54	$954.99	$1,258.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $134.90 / $181.97	Professional	26	$79.43	$134.90	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $575.44 / $912.01	Professional		$239.88	$575.44	$912.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $100.00 / $208.93	Professional	26	$61.66	$100.00	$208.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $457.09 / $707.95	Professional	TC	$213.80	$457.09	$707.95
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $302.00 / $588.84	Professional		$91.20	$302.00	$588.84
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $457.09 / $776.25	Professional		$302.00	$457.09	$776.25
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $104.71 / $186.21	Professional	26	$70.79	$104.71	$186.21
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $323.59 / $575.44	Professional	TC	$223.87	$323.59	$575.44
Health New England Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $141.25 / $575.44	Professional		$58.88	$141.25	$575.44
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $162.18 / $630.96 / $630.96	Facility	26	$162.18	$630.96	$630.96
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $489.78 / $2,951.21	Professional		$316.23	$489.78	$2,951.21
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $97.72 / $549.54	Professional	26	$63.10	$97.72	$549.54
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $416.87 / $2,570.40	Professional	TC	$239.88	$416.87	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $478.63 / $831.76	Professional		$316.23	$478.63	$831.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $97.72 / $204.17	Professional	26	$67.61	$97.72	$204.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $380.19 / $691.83	Professional	TC	$234.42	$380.19	$691.83