Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $141.81 / $141.82 / $295.55	Facility	26	$141.81	$141.82	$295.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $372.67 / $565.64 / $3,379.22	Professional		$372.67	$565.64	$3,379.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $105.94 / $141.82 / $338.30	Professional	26	$105.94	$141.82	$338.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $259.35 / $348.53 / $3,063.99	Professional	TC	$259.35	$348.53	$3,063.99
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $238.03 / $742.64 / $932.32	Facility	26	$238.03	$742.64	$932.32
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $403.88 / $867.11 / $6,160.49	Professional		$403.88	$867.11	$6,160.49
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $90.88 / $153.09 / $883.52	Professional	26	$90.88	$153.09	$883.52
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $296.14 / $606.13 / $5,601.93	Professional	TC	$296.14	$606.13	$5,601.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $138.13 / $193.89 / $296.38	Professional	26	$138.13	$193.89	$296.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $865.71 / $961.32 / $1,291.71	Professional	TC	$865.71	$961.32	$1,291.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $418.88 / $799.73 / $1,573.88	Professional		$418.88	$799.73	$1,573.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $101.68 / $152.54 / $308.23	Professional	26	$101.68	$152.54	$308.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $308.19 / $637.29 / $1,372.33	Professional	TC	$308.19	$637.29	$1,372.33
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $130.31 / $365.55 / $646.55	Professional		$130.31	$365.55	$646.55
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $422.30 / $850.51 / $1,104.35	Professional		$422.30	$850.51	$1,104.35
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $124.52 / $248.34 / $325.63	Professional	26	$124.52	$248.34	$325.63
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $297.77 / $595.55 / $778.72	Professional	TC	$297.77	$595.55	$778.72
Health New England Facility/Professional Professional Modifier Low / Median / High Price $146.59 / $201.13 / $811.65	Professional		$146.59	$201.13	$811.65
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $742.64 / $932.32 / $932.32	Facility	26	$742.64	$932.32	$932.32
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $401.16 / $1,006.38 / $6,160.49	Professional		$401.16	$1,006.38	$6,160.49
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $101.33 / $159.19 / $883.52	Professional	26	$101.33	$159.19	$883.52
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $296.39 / $723.83 / $5,601.93	Professional	TC	$296.39	$723.83	$5,601.93
United Facility/Professional Professional Modifier Low / Median / High Price $395.54 / $773.88 / $1,402.05	Professional		$395.54	$773.88	$1,402.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $98.49 / $141.38 / $274.82	Professional	26	$98.49	$141.38	$274.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $286.19 / $420.77 / $1,033.04	Professional	TC	$286.19	$420.77	$1,033.04