Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $95.50 / $1,862.09	Facility	26	$45.71	$95.50	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $295.12 / $1,047.13	Professional		$134.90	$295.12	$1,047.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $70.79 / $223.87	Professional	26	$51.29	$70.79	$223.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $199.53 / $549.54	Professional	TC	$112.20	$199.53	$549.54
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $501.19 / $501.19	Facility	26	$128.82	$501.19	$501.19
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $316.23 / $1,949.84	Professional		$162.18	$316.23	$1,949.84
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $81.28 / $446.68	Professional	26	$50.12	$81.28	$446.68
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $245.47 / $1,621.81	Professional	TC	$123.03	$245.47	$1,621.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $457.09 / $758.58	Professional		$269.15	$457.09	$758.58
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $107.15 / $144.54	Professional	26	$63.10	$107.15	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $363.08 / $575.44	Professional		$173.78	$363.08	$575.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $81.28 / $165.96	Professional	26	$47.86	$81.28	$165.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $269.15 / $426.58	Professional	TC	$125.89	$269.15	$426.58
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $177.83 / $380.19	Professional		$74.13	$177.83	$380.19
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $288.40 / $524.81	Professional		$177.83	$288.40	$524.81
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $85.11 / $151.36	Professional	26	$58.88	$85.11	$151.36
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $190.55 / $338.84	Professional	TC	$123.03	$190.55	$338.84
Health New England Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $102.33 / $426.58	Professional		$77.62	$102.33	$426.58
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $501.19 / $501.19	Facility	26	$128.82	$501.19	$501.19
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $316.23 / $1,949.84	Professional		$162.18	$316.23	$1,949.84
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $83.18 / $446.68	Professional	26	$51.29	$83.18	$446.68
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $245.47 / $1,621.81	Professional	TC	$120.23	$245.47	$1,621.81
Tufts Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $190.55 / $331.13	Professional		$102.33	$190.55	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $316.23 / $549.54	Professional		$199.53	$316.23	$549.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $83.18 / $165.96	Professional	26	$56.23	$83.18	$165.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $218.78 / $426.58	Professional	TC	$134.90	$218.78	$426.58