Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.79 / $97.79 / $204.69	Facility	26	$97.79	$97.79	$204.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.92 / $475.00 / $1,668.90	Professional		$244.92	$475.00	$1,668.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.56 / $140.00 / $239.00	Professional	26	$71.56	$140.00	$239.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $98.88 / $185.25 / $300.00	Professional	52	$98.88	$185.25	$300.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $154.25 / $316.17 / $813.38	Professional	TC	$154.25	$316.17	$813.38
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $164.95 / $510.16 / $641.91	Facility	26	$164.95	$510.16	$641.91
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $225.64 / $461.82 / $2,988.88	Professional		$225.64	$461.82	$2,988.88
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $67.58 / $110.69 / $558.07	Professional	26	$67.58	$110.69	$558.07
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $151.21 / $315.27 / $2,573.94	Professional	TC	$151.21	$315.27	$2,573.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $33.38 / $51.03	Professional		$19.97	$33.38	$51.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $95.13 / $133.51 / $177.43	Professional	26	$95.13	$133.51	$177.43
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $56.00 / $256.04 / $516.74	Professional	52	$56.00	$256.04	$516.74
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $490.84 / $548.38 / $653.51	Professional	TC	$490.84	$548.38	$653.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.64 / $485.59 / $979.45	Professional		$225.64	$485.59	$979.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.95 / $109.06 / $215.03	Professional	26	$71.95	$109.06	$215.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $155.93 / $325.39 / $706.26	Professional	TC	$155.93	$325.39	$706.26
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $89.73 / $193.66 / $362.93	Professional		$89.73	$193.66	$362.93
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $237.57 / $470.96 / $621.27	Professional		$237.57	$470.96	$621.27
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $85.61 / $171.22 / $223.88	Professional	26	$85.61	$171.22	$223.88
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $151.96 / $306.05 / $397.39	Professional	TC	$151.96	$306.05	$397.39
Health New England Facility/Professional Professional Modifier Low / Median / High Price $101.30 / $146.72 / $453.67	Professional		$101.30	$146.72	$453.67
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $510.16 / $641.91 / $641.91	Facility	26	$510.16	$641.91	$641.91
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $229.79 / $499.75 / $2,988.88	Professional		$229.79	$499.75	$2,988.88
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $72.15 / $114.23 / $558.07	Professional	26	$72.15	$114.23	$558.07
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $149.51 / $375.53 / $2,573.94	Professional	TC	$149.51	$375.53	$2,573.94
Tufts Facility/Professional Professional Modifier Low / Median / High Price $218.69 / $331.00 / $515.92	Professional		$218.69	$331.00	$515.92
United Facility/Professional Professional Modifier Low / Median / High Price $220.51 / $413.00 / $814.80	Professional		$220.51	$413.00	$814.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.58 / $91.77 / $182.91	Professional	26	$67.58	$91.77	$182.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.86 / $216.54 / $629.41	Professional	TC	$141.86	$216.54	$629.41