Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.78 / $118.49 / $246.46	Facility	26	$83.78	$118.49	$246.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.64 / $457.14 / $2,118.42	Professional		$284.64	$457.14	$2,118.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.67 / $140.00 / $302.32	Professional	26	$88.67	$140.00	$302.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $195.98 / $335.00 / $420.00	Professional	TC	$195.98	$335.00	$420.00
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $199.52 / $620.48 / $778.96	Facility	26	$199.52	$620.48	$778.96
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $328.19 / $646.08 / $3,587.02	Professional		$328.19	$646.08	$3,587.02
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $81.40 / $133.33 / $642.27	Professional	26	$81.40	$133.33	$642.27
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $237.97 / $496.17 / $3,086.80	Professional	TC	$237.97	$496.17	$3,086.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.51 / $79.80 / $107.76	Professional		$48.51	$79.80	$107.76
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $97.01 / $159.58 / $247.88	Professional	26	$97.01	$159.58	$247.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $706.78 / $772.50 / $1,033.48	Professional	TC	$706.78	$772.50	$1,033.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.66 / $667.57 / $1,217.45	Professional		$327.66	$667.57	$1,217.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.95 / $127.82 / $258.64	Professional	26	$84.95	$127.82	$258.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $237.97 / $512.11 / $1,036.53	Professional	TC	$237.97	$512.11	$1,036.53
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $108.91 / $293.57 / $525.30	Professional		$108.91	$293.57	$525.30
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $343.24 / $691.29 / $912.33	Professional		$343.24	$691.29	$912.33
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $104.04 / $206.25 / $272.08	Professional	26	$104.04	$206.25	$272.08
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $239.21 / $477.08 / $625.55	Professional	TC	$239.21	$477.08	$625.55
Health New England Facility/Professional Professional Modifier Low / Median / High Price $676.60 / $676.60 / $699.55	Professional		$676.60	$676.60	$699.55
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $620.48 / $778.96 / $778.96	Facility	26	$620.48	$778.96	$778.96
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $334.34 / $659.89 / $3,587.02	Professional		$334.34	$659.89	$3,587.02
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $86.45 / $137.51 / $642.27	Professional	26	$86.45	$137.51	$642.27
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $236.94 / $518.55 / $3,086.80	Professional	TC	$236.94	$518.55	$3,086.80
United Facility/Professional Professional Modifier Low / Median / High Price $322.86 / $583.74 / $973.60	Professional		$322.86	$583.74	$973.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.55 / $114.75 / $220.00	Professional	26	$85.55	$114.75	$220.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $228.81 / $326.81 / $708.11	Professional	TC	$228.81	$326.81	$708.11