Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.70 / $81.25 / $241.49	Facility	26	$64.70	$81.25	$241.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.52 / $412.18 / $960.55	Professional		$231.52	$412.18	$960.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.72 / $84.02 / $256.52	Professional	26	$64.72	$84.02	$256.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $166.81 / $310.24 / $480.94	Professional	TC	$166.81	$310.24	$480.94
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 $291.64 / $580.07 / $3,248.56	Professional		$291.64	$580.07	$3,248.56
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $78.61 / $123.53 / $880.00	Professional	26	$78.61	$123.53	$880.00
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $207.80 / $465.28 / $2,765.07	Professional	TC	$207.80	$465.28	$2,765.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $486.02 / $706.14 / $1,153.64	Professional		$486.02	$706.14	$1,153.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $93.99 / $154.61 / $240.16	Professional	26	$93.99	$154.61	$240.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.64 / $605.40 / $1,361.69	Professional		$327.64	$605.40	$1,361.69
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 $239.96 / $463.27 / $999.01	Professional	TC	$239.96	$463.27	$999.01
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $105.63 / $299.10 / $528.71	Professional		$105.63	$299.10	$528.71
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $344.47 / $682.88 / $900.82	Professional		$344.47	$682.88	$900.82
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 $243.71 / $486.06 / $637.33	Professional	TC	$243.71	$486.06	$637.33
Health New England Facility/Professional Professional Modifier Low / Median / High Price $119.32 / $159.88 / $440.33	Professional		$119.32	$159.88	$440.33
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 $313.92 / $620.34 / $3,248.56	Professional		$313.92	$620.34	$3,248.56
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $83.17 / $133.49 / $880.00	Professional	26	$83.17	$133.49	$880.00
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $218.98 / $479.94 / $2,765.07	Professional	TC	$218.98	$479.94	$2,765.07
Tufts Facility/Professional Professional Modifier Low / Median / High Price $158.25 / $276.70 / $435.00	Professional		$158.25	$276.70	$435.00
United Facility/Professional Professional Modifier Low / Median / High Price $300.99 / $478.09 / $888.41	Professional		$300.99	$478.09	$888.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $80.03 / $107.40 / $219.33	Professional	26	$80.03	$107.40	$219.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $211.49 / $322.11 / $809.04	Professional	TC	$211.49	$322.11	$809.04