Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $151.36 / $338.84	Facility	26	$83.18	$151.36	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $478.63 / $1,778.28	Professional		$281.84	$478.63	$1,778.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $144.54 / $501.19	Professional	26	$85.11	$144.54	$501.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $338.84 / $691.83	Professional	TC	$194.98	$338.84	$691.83
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $199.53 / $776.25 / $776.25	Facility	26	$199.53	$776.25	$776.25
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $588.84 / $3,548.13	Professional		$323.59	$588.84	$3,548.13
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $117.49 / $645.65	Professional	26	$75.86	$117.49	$645.65
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $467.74 / $3,090.30	Professional	TC	$234.42	$467.74	$3,090.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $977.24 / $1,479.11	Professional		$562.34	$977.24	$1,479.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $165.96 / $218.78	Professional	26	$97.72	$165.96	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $630.96 / $1,023.29	Professional		$245.47	$630.96	$1,023.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $128.82 / $251.19	Professional	26	$74.13	$128.82	$251.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $467.74 / $812.83	Professional	TC	$204.17	$467.74	$812.83
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $302.00 / $645.65	Professional		$112.20	$302.00	$645.65
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $489.78 / $870.96	Professional		$323.59	$489.78	$870.96
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $131.83 / $234.42	Professional	26	$87.10	$131.83	$234.42
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $323.59 / $575.44	Professional	TC	$223.87	$323.59	$575.44
Health New England Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $724.44	Professional		$676.08	$676.08	$724.44
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $199.53 / $776.25 / $776.25	Facility	26	$199.53	$776.25	$776.25
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $588.84 / $3,548.13	Professional		$323.59	$588.84	$3,548.13
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $117.49 / $645.65	Professional	26	$77.62	$117.49	$645.65
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $457.09 / $3,090.30	Professional	TC	$234.42	$457.09	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $562.34 / $977.24	Professional		$323.59	$562.34	$977.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $117.49 / $257.04	Professional	26	$85.11	$117.49	$257.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $380.19 / $758.58	Professional	TC	$229.09	$380.19	$758.58