Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.43 / $88.49 / $185.28	Facility	26	$62.43	$88.49	$185.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.71 / $475.00 / $608.00	Professional		$234.71	$475.00	$608.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.53 / $127.50 / $305.75	Professional	26	$66.53	$127.50	$305.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $170.24 / $335.00 / $433.05	Professional	TC	$170.24	$335.00	$433.05
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $149.22 / $461.28 / $580.79	Facility	26	$149.22	$461.28	$580.79
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $270.25 / $525.55 / $2,896.26	Professional		$270.25	$525.55	$2,896.26
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $56.78 / $97.90 / $625.77	Professional	26	$56.78	$97.90	$625.77
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $202.61 / $414.68 / $2,524.69	Professional	TC	$202.61	$414.68	$2,524.69
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $72.20 / $118.77 / $160.38	Professional	26	$72.20	$118.77	$160.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $548.38 / $657.69 / $881.83	Professional	TC	$548.38	$657.69	$881.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.25 / $562.15 / $1,051.77	Professional		$270.25	$562.15	$1,051.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.34 / $95.63 / $194.70	Professional	26	$63.34	$95.63	$194.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $210.42 / $448.62 / $925.13	Professional	TC	$210.42	$448.62	$925.13
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $81.16 / $250.41 / $442.64	Professional		$81.16	$250.41	$442.64
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $281.39 / $557.85 / $735.89	Professional		$281.39	$557.85	$735.89
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $77.41 / $153.46 / $202.43	Professional	26	$77.41	$153.46	$202.43
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $203.98 / $406.82 / $533.42	Professional	TC	$203.98	$406.82	$533.42
Health New England Facility/Professional Professional Modifier Low / Median / High Price $92.04 / $110.53 / $521.04	Professional		$92.04	$110.53	$521.04
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $461.28 / $580.79 / $580.79	Facility	26	$461.28	$580.79	$580.79
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $276.49 / $540.50 / $2,896.26	Professional		$276.49	$540.50	$2,896.26
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $64.16 / $102.25 / $625.77	Professional	26	$64.16	$102.25	$625.77
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $203.28 / $427.55 / $2,524.69	Professional	TC	$203.28	$427.55	$2,524.69
United Facility/Professional Professional Modifier Low / Median / High Price $264.89 / $430.01 / $820.35	Professional		$264.89	$430.01	$820.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.01 / $84.92 / $165.61	Professional	26	$61.01	$84.92	$165.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $196.33 / $294.49 / $632.38	Professional	TC	$196.33	$294.49	$632.38