Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $119.40 / $119.40 / $248.32	Facility	26	$119.40	$119.40	$248.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.50 / $494.18 / $3,232.51	Professional		$370.50	$494.18	$3,232.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.89 / $140.00 / $268.82	Professional	26	$90.89	$140.00	$268.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $266.77 / $335.00 / $1,020.25	Professional	TC	$266.77	$335.00	$1,020.25
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $200.22 / $617.36 / $777.44	Facility	26	$200.22	$617.36	$777.44
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $414.15 / $863.50 / $5,470.52	Professional		$414.15	$863.50	$5,470.52
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $80.59 / $126.29 / $808.00	Professional	26	$80.59	$126.29	$808.00
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $323.94 / $675.41 / $5,004.77	Professional	TC	$323.94	$675.41	$5,004.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.15 / $79.54 / $123.54	Professional		$54.15	$79.54	$123.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $96.69 / $159.06 / $214.80	Professional	26	$96.69	$159.06	$214.80
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $860.36 / $865.71 / $1,402.46	Professional	TC	$860.36	$865.71	$1,402.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.74 / $934.63 / $1,978.53	Professional		$427.74	$934.63	$1,978.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.78 / $128.37 / $259.61	Professional	26	$84.78	$128.37	$259.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $334.63 / $738.46 / $1,629.46	Professional	TC	$334.63	$738.46	$1,629.46
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $108.65 / $394.98 / $698.93	Professional		$108.65	$394.98	$698.93
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $430.90 / $867.83 / $1,126.84	Professional		$430.90	$867.83	$1,126.84
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $103.63 / $206.68 / $271.00	Professional	26	$103.63	$206.68	$271.00
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $327.27 / $652.71 / $855.84	Professional	TC	$327.27	$652.71	$855.84
Health New England Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $146.12 / $193.33	Professional		$123.80	$146.12	$193.33
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $617.36 / $777.44 / $777.44	Facility	26	$617.36	$777.44	$777.44
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $409.98 / $959.50 / $5,470.52	Professional		$409.98	$959.50	$5,470.52
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $85.57 / $134.35 / $808.00	Professional	26	$85.57	$134.35	$808.00
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $314.26 / $818.66 / $5,004.77	Professional	TC	$314.26	$818.66	$5,004.77
United Facility/Professional Professional Modifier Low / Median / High Price $395.90 / $794.24 / $1,449.87	Professional		$395.90	$794.24	$1,449.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.44 / $114.45 / $221.74	Professional	26	$81.44	$114.45	$221.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $308.74 / $602.17 / $1,127.27	Professional	TC	$308.74	$602.17	$1,127.27