Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.65 / $78.70 / $251.28	Facility	26	$67.65	$78.70	$251.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.51 / $438.87 / $1,002.32	Professional		$236.51	$438.87	$1,002.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.15 / $89.40 / $270.02	Professional	26	$74.15	$89.40	$270.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $168.84 / $310.27 / $508.96	Professional	TC	$168.84	$310.27	$508.96
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $201.76 / $627.76 / $788.32	Facility	26	$201.76	$627.76	$788.32
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $298.26 / $604.92 / $3,278.63	Professional		$298.26	$604.92	$3,278.63
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $86.26 / $130.36 / $1,009.00	Professional	26	$86.26	$130.36	$1,009.00
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $211.00 / $465.88 / $2,780.57	Professional	TC	$211.00	$465.88	$2,780.57
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $116.79 / $163.92 / $217.84	Professional	26	$116.79	$163.92	$217.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $450.19 / $548.38 / $905.29	Professional	TC	$450.19	$548.38	$905.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.36 / $614.83 / $1,061.49	Professional		$334.36	$614.83	$1,061.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.97 / $129.31 / $262.66	Professional	26	$85.97	$129.31	$262.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $243.15 / $464.18 / $880.24	Professional	TC	$243.15	$464.18	$880.24
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $110.18 / $302.63 / $538.54	Professional		$110.18	$302.63	$538.54
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $351.85 / $697.51 / $920.12	Professional		$351.85	$697.51	$920.12
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $105.27 / $209.95 / $275.29	Professional	26	$105.27	$209.95	$275.29
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $246.58 / $493.16 / $644.83	Professional	TC	$246.58	$493.16	$644.83
Health New England Facility/Professional Professional Modifier Low / Median / High Price $133.62 / $180.44 / $663.00	Professional		$133.62	$180.44	$663.00
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $627.76 / $788.32 / $788.32	Facility	26	$627.76	$788.32	$788.32
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $324.41 / $640.51 / $3,278.63	Professional		$324.41	$640.51	$3,278.63
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $87.23 / $139.41 / $1,009.00	Professional	26	$87.23	$139.41	$1,009.00
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $222.35 / $486.30 / $2,780.57	Professional	TC	$222.35	$486.30	$2,780.57
Tufts Facility/Professional Professional Modifier Low / Median / High Price $290.00 / $414.00 / $582.46	Professional		$290.00	$414.00	$582.46
United Facility/Professional Professional Modifier Low / Median / High Price $307.83 / $537.98 / $899.77	Professional		$307.83	$537.98	$899.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $86.51 / $120.33 / $247.06	Professional	26	$86.51	$120.33	$247.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $215.53 / $439.33 / $751.70	Professional	TC	$215.53	$439.33	$751.70