Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.18 / $141.25 / $281.84	Facility	26	$69.18	$141.25	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $537.03 / $2,137.96	Professional		$338.84	$537.03	$2,137.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $147.91 / $380.19	Professional	26	$72.44	$147.91	$380.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $371.54 / $1,122.02	Professional	TC	$263.03	$371.54	$1,122.02
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $165.96 / $288.40 / $645.65	Facility	26	$165.96	$288.40	$645.65
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $776.25 / $5,495.41	Professional		$380.19	$776.25	$5,495.41
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $100.00 / $812.83	Professional	26	$64.57	$100.00	$812.83
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $316.23 / $645.65 / $5,011.87	Professional	TC	$316.23	$645.65	$5,011.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,230.27 / $1,737.80	Professional		$707.95	$1,230.27	$1,737.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $134.90 / $181.97	Professional	26	$79.43	$134.90	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $794.33 / $1,548.82	Professional		$398.11	$794.33	$1,548.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $112.20 / $208.93	Professional	26	$66.07	$112.20	$208.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $316.23 / $691.83 / $1,380.38	Professional	TC	$316.23	$691.83	$1,380.38
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $407.38 / $776.25	Professional		$93.33	$407.38	$776.25
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $588.84 / $1,023.29	Professional		$380.19	$588.84	$1,023.29
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $107.15 / $190.55	Professional	26	$74.13	$107.15	$190.55
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $426.58 / $812.83	Professional	TC	$295.12	$426.58	$812.83
Health New England Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $117.49 / $144.54	Professional		$102.33	$117.49	$144.54
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $165.96 / $288.40 / $645.65	Facility	26	$165.96	$288.40	$645.65
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $758.58 / $5,495.41	Professional		$380.19	$758.58	$5,495.41
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $100.00 / $812.83	Professional	26	$64.57	$100.00	$812.83
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $316.23 / $645.65 / $5,011.87	Professional	TC	$316.23	$645.65	$5,011.87
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $724.44 / $1,380.38	Professional		$380.19	$724.44	$1,380.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $100.00 / $208.93	Professional	26	$74.13	$100.00	$208.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $524.81 / $1,122.02	Professional	TC	$302.00	$524.81	$1,122.02