Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.01 / $81.25 / $241.49	Facility	26	$65.01	$81.25	$241.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.98 / $402.07 / $1,459.00	Professional		$232.98	$402.07	$1,459.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.01 / $86.03 / $259.35	Professional	26	$65.01	$86.03	$259.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $167.96 / $310.24 / $520.95	Professional	TC	$167.96	$310.24	$520.95
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $194.66 / $600.40 / $755.84	Facility	26	$194.66	$600.40	$755.84
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $292.00 / $580.78 / $3,234.12	Professional		$292.00	$580.78	$3,234.12
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $78.61 / $123.04 / $559.72	Professional	26	$78.61	$123.04	$559.72
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $208.16 / $465.61 / $2,752.56	Professional	TC	$208.16	$465.61	$2,752.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $486.02 / $707.61 / $1,153.64	Professional		$486.02	$707.61	$1,153.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $111.94 / $157.11 / $208.80	Professional	26	$111.94	$157.11	$208.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.05 / $604.72 / $1,358.98	Professional		$328.05	$604.72	$1,358.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.42 / $123.41 / $252.51	Professional	26	$82.42	$123.41	$252.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $240.36 / $464.03 / $1,002.47	Professional	TC	$240.36	$464.03	$1,002.47
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $105.63 / $299.61 / $529.62	Professional		$105.63	$299.61	$529.62
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $344.88 / $683.69 / $901.90	Professional		$344.88	$683.69	$901.90
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $100.76 / $200.96 / $263.50	Professional	26	$100.76	$200.96	$263.50
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $244.12 / $486.87 / $638.40	Professional	TC	$244.12	$486.87	$638.40
Health New England Facility/Professional Professional Modifier Low / Median / High Price $119.32 / $159.74 / $456.17	Professional		$119.32	$159.74	$456.17
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $600.40 / $755.84 / $755.84	Facility	26	$600.40	$755.84	$755.84
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $314.30 / $620.34 / $3,234.12	Professional		$314.30	$620.34	$3,234.12
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $83.17 / $133.49 / $559.72	Professional	26	$83.17	$133.49	$559.72
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $219.35 / $480.74 / $2,752.56	Professional	TC	$219.35	$480.74	$2,752.56
Tufts Facility/Professional Professional Modifier Low / Median / High Price $182.86 / $283.44 / $460.42	Professional		$182.86	$283.44	$460.42
United Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $470.15 / $959.81	Professional		$301.35	$470.15	$959.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $80.03 / $110.84 / $204.51	Professional	26	$80.03	$110.84	$204.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $213.06 / $406.07 / $821.57	Professional	TC	$213.06	$406.07	$821.57