Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.22 / $118.81 / $246.36	Facility	26	$83.22	$118.81	$246.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.09 / $486.28 / $1,870.25	Professional		$346.09	$486.28	$1,870.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.53 / $140.00 / $286.12	Professional	26	$90.53	$140.00	$286.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $255.46 / $335.00 / $861.06	Professional	TC	$255.46	$335.00	$861.06
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $199.30 / $614.96 / $774.40	Facility	26	$199.30	$614.96	$774.40
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $395.98 / $638.96 / $3,048.68	Professional		$395.98	$638.96	$3,048.68
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $81.66 / $128.34 / $854.80	Professional	26	$81.66	$128.34	$854.80
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $309.99 / $548.80 / $2,632.62	Professional	TC	$309.99	$548.80	$2,632.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $122.48 / $162.57 / $213.73	Professional	26	$122.48	$162.57	$213.73
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $702.91 / $823.31 / $1,344.50	Professional	TC	$702.91	$823.31	$1,344.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.10 / $660.00 / $1,252.50	Professional		$350.10	$660.00	$1,252.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.40 / $129.41 / $257.48	Professional	26	$84.40	$129.41	$257.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $320.80 / $571.22 / $1,081.08	Professional	TC	$320.80	$571.22	$1,081.08
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $108.19 / $380.18 / $672.27	Professional		$108.19	$380.18	$672.27
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $414.92 / $835.65 / $1,085.06	Professional		$414.92	$835.65	$1,085.06
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $103.22 / $205.86 / $269.93	Professional	26	$103.22	$205.86	$269.93
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $311.70 / $621.66 / $815.15	Professional	TC	$311.70	$621.66	$815.15
Health New England Facility/Professional Professional Modifier Low / Median / High Price $118.92 / $142.78 / $694.45	Professional		$118.92	$142.78	$694.45
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $614.96 / $774.40 / $774.40	Facility	26	$614.96	$774.40	$774.40
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $395.98 / $653.78 / $3,048.68	Professional		$395.98	$653.78	$3,048.68
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $85.20 / $136.66 / $854.80	Professional	26	$85.20	$136.66	$854.80
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $309.02 / $563.39 / $2,632.62	Professional	TC	$309.02	$563.39	$2,632.62
United Facility/Professional Professional Modifier Low / Median / High Price $390.13 / $546.17 / $937.93	Professional		$390.13	$546.17	$937.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $82.15 / $114.34 / $219.93	Professional	26	$82.15	$114.34	$219.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $298.45 / $433.08 / $768.99	Professional	TC	$298.45	$433.08	$768.99