Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.76 / $79.59 / $166.16	Facility	26	$76.76	$79.59	$166.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $475.00 / $1,320.50	Professional		$250.00	$475.00	$1,320.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.12 / $112.50 / $176.40	Professional	26	$59.12	$112.50	$176.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $176.35 / $335.00 / $433.05	Professional	TC	$176.35	$335.00	$433.05
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $133.63 / $409.92 / $516.48	Facility	26	$133.63	$409.92	$516.48
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $257.87 / $515.74 / $2,983.73	Professional		$257.87	$515.74	$2,983.73
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $54.15 / $84.20 / $505.24	Professional	26	$54.15	$84.20	$505.24
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $197.73 / $412.27 / $2,710.11	Professional	TC	$197.73	$412.27	$2,710.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $71.92 / $107.33 / $142.63	Professional	26	$71.92	$107.33	$142.63
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $525.15 / $548.38 / $854.58	Professional	TC	$525.15	$548.38	$854.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.06 / $569.11 / $1,251.07	Professional		$266.06	$569.11	$1,251.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.32 / $86.60 / $173.42	Professional	26	$56.32	$86.60	$173.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $203.91 / $492.99 / $1,055.86	Professional	TC	$203.91	$492.99	$1,055.86
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $72.18 / $245.25 / $433.52	Professional		$72.18	$245.25	$433.52
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $268.70 / $535.90 / $702.68	Professional		$268.70	$535.90	$702.68
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $68.81 / $137.62 / $179.94	Professional	26	$68.81	$137.62	$179.94
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $199.88 / $398.64 / $522.71	Professional	TC	$199.88	$398.64	$522.71
Health New England Facility/Professional Professional Modifier Low / Median / High Price $81.81 / $101.98 / $451.35	Professional		$81.81	$101.98	$451.35
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $409.92 / $516.48 / $516.48	Facility	26	$409.92	$516.48	$516.48
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $255.54 / $529.97 / $2,983.73	Professional		$255.54	$529.97	$2,983.73
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $57.05 / $89.28 / $505.24	Professional	26	$57.05	$89.28	$505.24
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $194.30 / $430.77 / $2,710.11	Professional	TC	$194.30	$430.77	$2,710.11
Tufts Facility/Professional Professional Modifier Low / Median / High Price $286.92 / $390.68 / $489.00	Professional		$286.92	$390.68	$489.00
United Facility/Professional Professional Modifier Low / Median / High Price $249.02 / $398.43 / $780.56	Professional		$249.02	$398.43	$780.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.13 / $76.56 / $153.78	Professional	26	$55.13	$76.56	$153.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $187.67 / $300.27 / $662.30	Professional	TC	$187.67	$300.27	$662.30