Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $105.49 / $150.25 / $311.99	Facility	26	$105.49	$150.25	$311.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.08 / $575.09 / $2,843.42	Professional		$402.08	$575.09	$2,843.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $111.58 / $150.25 / $354.48	Professional	26	$111.58	$150.25	$354.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $282.87 / $416.41 / $875.63	Professional	TC	$282.87	$416.41	$875.63
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $251.37 / $781.84 / $981.20	Facility	26	$251.37	$781.84	$981.20
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $566.47 / $1,079.04 / $6,147.01	Professional		$566.47	$1,079.04	$6,147.01
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $95.18 / $160.66 / $937.83	Professional	26	$95.18	$160.66	$937.83
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $453.03 / $910.17 / $5,562.51	Professional	TC	$453.03	$910.17	$5,562.51
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $122.07 / $200.81 / $311.91	Professional	26	$122.07	$200.81	$311.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $865.71 / $1,446.03 / $1,852.24	Professional	TC	$865.71	$1,446.03	$1,852.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $566.47 / $1,103.50 / $1,831.01	Professional		$566.47	$1,103.50	$1,831.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.00 / $161.07 / $325.51	Professional	26	$107.00	$161.07	$325.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $455.00 / $890.39 / $1,577.31	Professional	TC	$455.00	$890.39	$1,577.31
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $137.13 / $545.98 / $949.56	Professional		$137.13	$545.98	$949.56
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $584.50 / $1,158.71 / $1,528.53	Professional		$584.50	$1,158.71	$1,528.53
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $131.07 / $261.41 / $342.76	Professional	26	$131.07	$261.41	$342.76
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $453.43 / $898.88 / $1,185.76	Professional	TC	$453.43	$898.88	$1,185.76
Health New England Facility/Professional Professional Modifier Low / Median / High Price $150.19 / $168.38 / $880.60	Professional		$150.19	$168.38	$880.60
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $781.84 / $981.20 / $981.20	Facility	26	$781.84	$981.20	$981.20
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $571.07 / $1,132.94 / $6,147.01	Professional		$571.07	$1,132.94	$6,147.01
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $107.59 / $172.14 / $937.83	Professional	26	$107.59	$172.14	$937.83
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $454.57 / $920.04 / $5,562.51	Professional	TC	$454.57	$920.04	$5,562.51
United Facility/Professional Professional Modifier Low / Median / High Price $562.28 / $976.31 / $1,628.96	Professional		$562.28	$976.31	$1,628.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $103.21 / $143.88 / $302.24	Professional	26	$103.21	$143.88	$302.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $447.52 / $807.88 / $1,410.35	Professional	TC	$447.52	$807.88	$1,410.35