Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.02 / $96.36 / $200.97	Facility	26	$68.02	$96.36	$200.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.81 / $475.00 / $858.23	Professional		$305.81	$475.00	$858.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.16 / $140.00 / $315.82	Professional	26	$72.16	$140.00	$315.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $233.65 / $335.00 / $470.23	Professional	TC	$233.65	$335.00	$470.23
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $162.56 / $502.88 / $632.64	Facility	26	$162.56	$502.88	$632.64
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $405.72 / $635.74 / $3,113.67	Professional		$405.72	$635.74	$3,113.67
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $61.45 / $105.89 / $680.25	Professional	26	$61.45	$105.89	$680.25
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $333.60 / $560.33 / $2,677.57	Professional	TC	$333.60	$560.33	$2,677.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.35 / $65.78 / $100.55	Professional		$39.35	$65.78	$100.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $93.73 / $129.46 / $174.83	Professional	26	$93.73	$129.46	$174.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $548.38 / $921.23 / $1,172.81	Professional	TC	$548.38	$921.23	$1,172.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $672.00 / $1,216.41	Professional		$375.00	$672.00	$1,216.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.98 / $107.00 / $214.41	Professional	26	$68.98	$107.00	$214.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $333.60 / $561.85 / $1,042.90	Professional	TC	$333.60	$561.85	$1,042.90
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $88.43 / $397.93 / $679.78	Professional		$88.43	$397.93	$679.78
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $417.38 / $827.41 / $1,091.49	Professional		$417.38	$827.41	$1,091.49
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $84.38 / $168.29 / $220.66	Professional	26	$84.38	$168.29	$220.66
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $333.00 / $664.14 / $870.83	Professional	TC	$333.00	$664.14	$870.83
Health New England Facility/Professional Professional Modifier Low / Median / High Price $99.84 / $112.02 / $124.25	Professional		$99.84	$112.02	$124.25
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $502.88 / $632.64 / $632.64	Facility	26	$502.88	$632.64	$632.64
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $409.70 / $644.41 / $3,113.67	Professional		$409.70	$644.41	$3,113.67
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $69.56 / $111.39 / $680.25	Professional	26	$69.56	$111.39	$680.25
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $334.74 / $568.91 / $2,677.57	Professional	TC	$334.74	$568.91	$2,677.57
United Facility/Professional Professional Modifier Low / Median / High Price $409.70 / $588.65 / $1,171.40	Professional		$409.70	$588.65	$1,171.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.00 / $96.97 / $195.09	Professional	26	$66.00	$96.97	$195.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $327.69 / $468.13 / $955.67	Professional	TC	$327.69	$468.13	$955.67