Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.18 / $93.33 / $281.84	Facility	26	$69.18	$93.33	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $478.63 / $1,621.81	Professional		$251.19	$478.63	$1,621.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $125.89 / $316.23	Professional	26	$72.44	$125.89	$316.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $302.00 / $691.83	Professional	TC	$186.21	$302.00	$691.83
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 $281.84 / $512.86 / $3,090.30	Professional		$281.84	$512.86	$3,090.30
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $95.50 / $870.96	Professional	26	$53.70	$95.50	$870.96
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $416.87 / $2,818.38	Professional	TC	$213.80	$416.87	$2,818.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $891.25 / $1,445.44	Professional		$512.86	$891.25	$1,445.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $138.04 / $181.97	Professional	26	$81.28	$138.04	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $575.44 / $1,000.00	Professional		$295.12	$575.44	$1,000.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $95.50 / $208.93	Professional	26	$53.70	$95.50	$208.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $489.78 / $891.25	Professional	TC	$213.80	$489.78	$891.25
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $281.84 / $575.44	Professional		$91.20	$281.84	$575.44
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $436.52 / $794.33	Professional		$269.15	$436.52	$794.33
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $107.15 / $194.98	Professional	26	$70.79	$107.15	$194.98
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $288.40 / $537.03	Professional	TC	$194.98	$288.40	$537.03
Health New England Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $109.65 / $125.89	Professional		$100.00	$109.65	$125.89
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 $281.84 / $501.19 / $3,090.30	Professional		$281.84	$501.19	$3,090.30
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $95.50 / $870.96	Professional	26	$53.70	$95.50	$870.96
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $416.87 / $2,818.38	Professional	TC	$213.80	$416.87	$2,818.38
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $478.63 / $912.01	Professional		$281.84	$478.63	$912.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $95.50 / $208.93	Professional	26	$57.54	$95.50	$208.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $346.74 / $676.08	Professional	TC	$204.17	$346.74	$676.08