Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $114.82 / $331.13	Facility	26	$64.57	$114.82	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $426.58 / $1,698.24	Professional		$245.47	$426.58	$1,698.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $107.15 / $316.23	Professional	26	$75.86	$107.15	$316.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $269.15 / $724.44	Professional	TC	$165.96	$269.15	$724.44
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $194.98 / $338.84 / $758.58	Facility	26	$194.98	$338.84	$758.58
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $489.78 / $3,235.94	Professional		$251.19	$489.78	$3,235.94
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $114.82 / $562.34	Professional	26	$72.44	$114.82	$562.34
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $398.11 / $2,754.23	Professional	TC	$199.53	$398.11	$2,754.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $707.95 / $1,148.15	Professional		$407.38	$707.95	$1,148.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $162.18 / $213.80	Professional	26	$93.33	$162.18	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $549.54 / $977.24	Professional		$245.47	$549.54	$977.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $120.23 / $245.47	Professional	26	$70.79	$120.23	$245.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $436.52 / $851.14	Professional	TC	$190.55	$436.52	$851.14
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $309.03 / $630.96	Professional		$109.65	$309.03	$630.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $467.74 / $831.76	Professional		$302.00	$467.74	$831.76
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $125.89 / $223.87	Professional	26	$83.18	$125.89	$223.87
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $316.23 / $588.84	Professional	TC	$213.80	$316.23	$588.84
Health New England Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $138.04 / $436.52	Professional		$117.49	$138.04	$436.52
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $194.98 / $338.84 / $758.58	Facility	26	$194.98	$338.84	$758.58
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $489.78 / $3,235.94	Professional		$251.19	$489.78	$3,235.94
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $114.82 / $562.34	Professional	26	$72.44	$114.82	$562.34
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $389.05 / $2,754.23	Professional	TC	$194.98	$389.05	$2,754.23
Tufts Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $309.03 / $446.68	Professional		$199.53	$309.03	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $478.63 / $954.99	Professional		$302.00	$478.63	$954.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $114.82 / $239.88	Professional	26	$79.43	$114.82	$239.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $346.74 / $741.31	Professional	TC	$213.80	$346.74	$741.31