Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.68 / $119.40 / $248.32	Facility	26	$68.68	$119.40	$248.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.67 / $475.00 / $821.14	Professional		$338.67	$475.00	$821.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.20 / $140.00 / $244.42	Professional	26	$73.20	$140.00	$244.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $265.45 / $335.00 / $701.74	Professional	TC	$265.45	$335.00	$701.74
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $164.10 / $507.76 / $638.88	Facility	26	$164.10	$507.76	$638.88
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $396.78 / $829.77 / $5,470.52	Professional		$396.78	$829.77	$5,470.52
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $70.59 / $106.61 / $808.00	Professional	26	$70.59	$106.61	$808.00
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $322.33 / $672.08 / $5,004.77	Professional	TC	$322.33	$672.08	$5,004.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.72 / $65.34 / $88.24	Professional		$39.72	$65.34	$88.24
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.44 / $132.79 / $176.48	Professional	26	$79.44	$132.79	$176.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $856.12 / $865.71 / $1,395.64	Professional	TC	$856.12	$865.71	$1,395.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $409.32 / $898.23 / $1,947.98	Professional		$409.32	$898.23	$1,947.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.43 / $119.45 / $216.47	Professional	26	$74.43	$119.45	$216.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $333.00 / $733.40 / $1,619.11	Professional	TC	$333.00	$733.40	$1,619.11
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $89.28 / $391.89 / $669.22	Professional		$89.28	$391.89	$669.22
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $411.24 / $828.24 / $1,075.43	Professional		$411.24	$828.24	$1,075.43
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $85.20 / $169.92 / $222.81	Professional	26	$85.20	$169.92	$222.81
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $326.04 / $652.08 / $852.63	Professional	TC	$326.04	$652.08	$852.63
Health New England Facility/Professional Professional Modifier Low / Median / High Price $101.30 / $118.07 / $164.66	Professional		$101.30	$118.07	$164.66
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $507.76 / $638.88 / $638.88	Facility	26	$507.76	$638.88	$638.88
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $391.94 / $959.50 / $5,470.52	Professional		$391.94	$959.50	$5,470.52
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $76.15 / $112.49 / $808.00	Professional	26	$76.15	$112.49	$808.00
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $312.02 / $818.66 / $5,004.77	Professional	TC	$312.02	$818.66	$5,004.77
United Facility/Professional Professional Modifier Low / Median / High Price $377.50 / $725.59 / $1,406.99	Professional		$377.50	$725.59	$1,406.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.18 / $98.39 / $206.04	Professional	26	$72.18	$98.39	$206.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $301.35 / $452.02 / $1,108.88	Professional	TC	$301.35	$452.02	$1,108.88