Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $141.25 / $407.38	Facility	26	$100.00	$141.25	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $575.44 / $2,511.89	Professional		$371.54	$575.44	$2,511.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $213.80 / $537.03	Professional	26	$102.33	$213.80	$537.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $416.87 / $1,621.81	Professional	TC	$251.19	$416.87	$1,621.81
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $239.88 / $416.87 / $933.25	Facility	26	$239.88	$416.87	$933.25
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $758.58 / $6,165.95	Professional		$398.11	$758.58	$6,165.95
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $141.25 / $891.25	Professional	26	$89.13	$141.25	$891.25
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $575.44 / $5,623.41	Professional	TC	$295.12	$575.44	$5,623.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,202.26 / $1,819.70	Professional		$691.83	$1,202.26	$1,819.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $199.53 / $263.03	Professional	26	$114.82	$199.53	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $776.25 / $1,348.96	Professional		$389.05	$776.25	$1,348.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $147.91 / $302.00	Professional	26	$87.10	$147.91	$302.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $588.84 / $1,174.90	Professional	TC	$288.40	$588.84	$1,174.90
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $380.19 / $794.33	Professional		$131.83	$380.19	$794.33
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $602.56 / $1,047.13	Professional		$371.54	$602.56	$1,047.13
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $154.88 / $275.42	Professional	26	$102.33	$154.88	$275.42
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $407.38 / $741.31	Professional	TC	$281.84	$407.38	$741.31
Health New England Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $186.21 / $831.76	Professional		$144.54	$186.21	$831.76
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $239.88 / $416.87 / $933.25	Facility	26	$239.88	$416.87	$933.25
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $758.58 / $6,165.95	Professional		$398.11	$758.58	$6,165.95
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $141.25 / $891.25	Professional	26	$89.13	$141.25	$891.25
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $575.44 / $5,623.41	Professional	TC	$295.12	$575.44	$5,623.41
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $724.44 / $1,445.44	Professional		$398.11	$724.44	$1,445.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $141.25 / $302.00	Professional	26	$97.72	$141.25	$302.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $489.78 / $1,071.52	Professional	TC	$288.40	$489.78	$1,071.52