Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.92 / $118.49 / $246.46	Facility	26	$82.92	$118.49	$246.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.36 / $475.00 / $661.50	Professional		$279.36	$475.00	$661.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.97 / $140.00 / $262.31	Professional	26	$87.97	$140.00	$262.31
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $139.68 / $212.50 / $300.00	Professional	52	$139.68	$212.50	$300.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $191.40 / $333.21 / $433.05	Professional	TC	$191.40	$333.21	$433.05
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $198.67 / $612.55 / $771.20	Facility	26	$198.67	$612.55	$771.20
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $321.91 / $633.94 / $3,548.99	Professional		$321.91	$633.94	$3,548.99
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $75.26 / $130.19 / $672.00	Professional	26	$75.26	$130.19	$672.00
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $232.39 / $475.63 / $3,086.80	Professional	TC	$232.39	$475.63	$3,086.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $107.46 / $157.84 / $213.15	Professional	26	$107.46	$157.84	$213.15
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $65.64 / $375.32 / $678.19	Professional	52	$65.64	$375.32	$678.19
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $706.78 / $754.38 / $1,008.84	Professional	TC	$706.78	$754.38	$1,008.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.91 / $646.05 / $1,204.92	Professional		$321.91	$646.05	$1,204.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.10 / $128.24 / $257.61	Professional	26	$84.10	$128.24	$257.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $240.69 / $500.11 / $1,037.33	Professional	TC	$240.69	$500.11	$1,037.33
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $107.80 / $288.02 / $516.74	Professional		$107.80	$288.02	$516.74
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $337.51 / $679.75 / $897.10	Professional		$337.51	$679.75	$897.10
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $102.81 / $205.04 / $268.86	Professional	26	$102.81	$205.04	$268.86
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $234.70 / $465.27 / $613.76	Professional	TC	$234.70	$465.27	$613.76
Health New England Facility/Professional Professional Modifier Low / Median / High Price $122.34 / $151.80 / $172.33	Professional		$122.34	$151.80	$172.33
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $612.55 / $771.20 / $771.20	Facility	26	$612.55	$771.20	$771.20
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $327.14 / $652.75 / $3,548.99	Professional		$327.14	$652.75	$3,548.99
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $84.89 / $136.22 / $672.00	Professional	26	$84.89	$136.22	$672.00
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $230.21 / $510.27 / $3,086.80	Professional	TC	$230.21	$510.27	$3,086.80
United Facility/Professional Professional Modifier Low / Median / High Price $313.62 / $501.79 / $962.56	Professional		$313.62	$501.79	$962.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.48 / $114.41 / $222.17	Professional	26	$81.48	$114.41	$222.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $222.31 / $334.97 / $808.23	Professional	TC	$222.31	$334.97	$808.23