Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.71 / $177.83 / $426.58	Facility	26	$104.71	$177.83	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $741.31 / $3,090.30	Professional		$426.58	$741.31	$3,090.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $194.98 / $512.86	Professional	26	$109.65	$194.98	$512.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $446.68 / $1,148.15	Professional	TC	$281.84	$446.68	$1,148.15
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $251.19 / $436.52 / $977.24	Facility	26	$251.19	$436.52	$977.24
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $977.24 / $6,165.95	Professional		$562.34	$977.24	$6,165.95
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $147.91 / $933.25	Professional	26	$93.33	$147.91	$933.25
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $457.09 / $831.76 / $5,623.41	Professional	TC	$457.09	$831.76	$5,623.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,698.24 / $2,290.87	Professional		$1,000.00	$1,698.24	$2,290.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $208.93 / $275.42	Professional	26	$123.03	$208.93	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $977.24 / $1,659.59	Professional		$478.63	$977.24	$1,659.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $151.36 / $316.23	Professional	26	$91.20	$151.36	$316.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $398.11 / $851.14 / $1,348.96	Professional	TC	$398.11	$851.14	$1,348.96
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $562.34 / $1,071.52	Professional		$141.25	$562.34	$1,071.52
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $831.76 / $1,412.54	Professional		$549.54	$831.76	$1,412.54
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $162.18 / $295.12	Professional	26	$107.15	$162.18	$295.12
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $426.58 / $616.60 / $1,096.48	Professional	TC	$426.58	$616.60	$1,096.48
Health New England Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $218.78 / $870.96	Professional		$154.88	$218.78	$870.96
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $251.19 / $436.52 / $977.24	Facility	26	$251.19	$436.52	$977.24
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $977.24 / $6,165.95	Professional		$562.34	$977.24	$6,165.95
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $147.91 / $933.25	Professional	26	$93.33	$147.91	$933.25
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $457.09 / $812.83 / $5,623.41	Professional	TC	$457.09	$812.83	$5,623.41
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $933.25 / $1,621.81	Professional		$562.34	$933.25	$1,621.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $147.91 / $316.23	Professional	26	$102.33	$147.91	$316.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $436.52 / $724.44 / $1,380.38	Professional	TC	$436.52	$724.44	$1,380.38