Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.70 / $98.31 / $205.76	Facility	26	$96.70	$98.31	$205.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.79 / $475.00 / $1,858.53	Professional		$229.79	$475.00	$1,858.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.09 / $119.21 / $229.00	Professional	26	$71.09	$119.21	$229.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $99.20 / $155.85 / $300.00	Professional	52	$99.20	$155.85	$300.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $124.87 / $298.38 / $536.50	Professional	TC	$124.87	$298.38	$536.50
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 $226.44 / $472.13 / $3,240.21	Professional		$226.44	$472.13	$3,240.21
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $62.63 / $108.39 / $577.89	Professional	26	$62.63	$108.39	$577.89
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $151.61 / $316.11 / $2,855.17	Professional	TC	$151.61	$316.11	$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 52 Low / Median / High Price $56.42 / $256.57 / $516.74	Professional	52	$56.42	$256.57	$516.74
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $492.13 / $548.38 / $656.92	Professional	TC	$492.13	$548.38	$656.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.44 / $487.30 / $987.28	Professional		$226.44	$487.30	$987.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.00 / $106.63 / $215.03	Professional	26	$70.00	$106.63	$215.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $156.74 / $326.26 / $707.98	Professional	TC	$156.74	$326.26	$707.98
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $89.73 / $192.08 / $364.19	Professional		$89.73	$192.08	$364.19
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $238.39 / $476.78 / $623.41	Professional		$238.39	$476.78	$623.41
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $85.61 / $172.42 / $223.88	Professional	26	$85.61	$172.42	$223.88
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $152.78 / $305.56 / $399.54	Professional	TC	$152.78	$305.56	$399.54
Health New England Facility/Professional Professional Modifier Low / Median / High Price $101.78 / $135.78 / $455.01	Professional		$101.78	$135.78	$455.01
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 $230.16 / $538.09 / $3,240.21	Professional		$230.16	$538.09	$3,240.21
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $70.94 / $113.05 / $577.89	Professional	26	$70.94	$113.05	$577.89
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $149.88 / $386.83 / $2,855.17	Professional	TC	$149.88	$386.83	$2,855.17
Tufts Facility/Professional Professional Modifier Low / Median / High Price $256.66 / $343.26 / $511.99	Professional		$256.66	$343.26	$511.99
United Facility/Professional Professional Modifier Low / Median / High Price $220.87 / $397.57 / $765.05	Professional		$220.87	$397.57	$765.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.09 / $95.20 / $182.91	Professional	26	$68.09	$95.20	$182.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $142.21 / $218.07 / $629.07	Professional	TC	$142.21	$218.07	$629.07