Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $138.04 / $338.84	Facility	26	$83.18	$138.04	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $478.63 / $1,778.28	Professional		$288.40	$478.63	$1,778.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $151.36 / $389.05	Professional	26	$85.11	$151.36	$389.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $331.13 / $691.83	Professional	TC	$190.55	$331.13	$691.83
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $199.53 / $776.25 / $776.25	Facility	26	$199.53	$776.25	$776.25
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $549.54 / $3,548.13	Professional		$316.23	$549.54	$3,548.13
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $117.49 / $676.08	Professional	26	$72.44	$117.49	$676.08
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $446.68 / $3,090.30	Professional	TC	$234.42	$446.68	$3,090.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $954.99 / $1,479.11	Professional		$549.54	$954.99	$1,479.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $165.96 / $218.78	Professional	26	$95.50	$165.96	$218.78
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $47.86 / $275.42 / $630.96	Professional	52	$47.86	$275.42	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $630.96 / $1,000.00	Professional		$239.88	$630.96	$1,000.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $123.03 / $251.19	Professional	26	$74.13	$123.03	$251.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $457.09 / $812.83	Professional	TC	$194.98	$457.09	$812.83
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $295.12 / $630.96	Professional		$109.65	$295.12	$630.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $478.63 / $870.96	Professional		$316.23	$478.63	$870.96
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $128.82 / $229.09	Professional	26	$85.11	$128.82	$229.09
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $316.23 / $562.34	Professional	TC	$218.78	$316.23	$562.34
Health New England Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $151.36 / $173.78	Professional		$123.03	$151.36	$173.78
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $199.53 / $776.25 / $776.25	Facility	26	$199.53	$776.25	$776.25
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $549.54 / $3,548.13	Professional		$316.23	$549.54	$3,548.13
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $117.49 / $676.08	Professional	26	$75.86	$117.49	$676.08
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $446.68 / $3,090.30	Professional	TC	$229.09	$446.68	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $549.54 / $977.24	Professional		$316.23	$549.54	$977.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $117.49 / $251.19	Professional	26	$81.28	$117.49	$251.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $371.54 / $758.58	Professional	TC	$223.87	$371.54	$758.58