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 / $1,442.00	Professional		$244.92	$475.00	$1,442.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.81 / $140.00 / $242.31	Professional	26	$72.81	$140.00	$242.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $137.69 / $297.50 / $472.35	Professional	TC	$137.69	$297.50	$472.35
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 $225.25 / $469.65 / $3,270.06	Professional		$225.25	$469.65	$3,270.06
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $67.59 / $110.69 / $609.25	Professional	26	$67.59	$110.69	$609.25
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $150.81 / $314.44 / $2,855.17	Professional	TC	$150.81	$314.44	$2,855.17
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $89.45 / $133.51 / $177.43	Professional	26	$89.45	$133.51	$177.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $489.56 / $489.56 / $653.51	Professional	TC	$489.56	$489.56	$653.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.25 / $484.73 / $1,000.14	Professional		$225.25	$484.73	$1,000.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.28 / $109.06 / $215.03	Professional	26	$72.28	$109.06	$215.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $155.93 / $324.55 / $707.98	Professional	TC	$155.93	$324.55	$707.98
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $89.73 / $194.18 / $363.56	Professional		$89.73	$194.18	$363.56
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $237.98 / $479.29 / $622.34	Professional		$237.98	$479.29	$622.34
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $85.61 / $170.74 / $223.88	Professional	26	$85.61	$170.74	$223.88
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $152.37 / $303.89 / $398.46	Professional	TC	$152.37	$303.89	$398.46
Health New England Facility/Professional Professional Modifier Low / Median / High Price $98.55 / $120.66 / $453.00	Professional		$98.55	$120.66	$453.00
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 / $543.41 / $3,270.06	Professional		$229.79	$543.41	$3,270.06
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $72.15 / $114.23 / $609.25	Professional	26	$72.15	$114.23	$609.25
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $149.51 / $384.82 / $2,855.17	Professional	TC	$149.51	$384.82	$2,855.17
Tufts Facility/Professional Professional Modifier Low / Median / High Price $218.69 / $285.98 / $382.99	Professional		$218.69	$285.98	$382.99
United Facility/Professional Professional Modifier Low / Median / High Price $220.51 / $388.22 / $787.57	Professional		$220.51	$388.22	$787.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.53 / $95.40 / $189.63	Professional	26	$70.53	$95.40	$189.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.36 / $212.25 / $625.29	Professional	TC	$144.36	$212.25	$625.29