Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.44 / $118.49 / $247.22	Facility	26	$83.44	$118.49	$247.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.74 / $451.43 / $1,049.56	Professional		$279.74	$451.43	$1,049.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.34 / $140.00 / $280.70	Professional	26	$88.34	$140.00	$280.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $191.40 / $332.94 / $433.05	Professional	TC	$191.40	$332.94	$433.05
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $198.67 / $618.08 / $775.84	Facility	26	$198.67	$618.08	$775.84
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $322.20 / $638.16 / $3,551.15	Professional		$322.20	$638.16	$3,551.15
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $75.63 / $130.19 / $665.40	Professional	26	$75.63	$130.19	$665.40
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $232.39 / $484.53 / $3,086.80	Professional	TC	$232.39	$484.53	$3,086.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $108.17 / $161.44 / $246.78	Professional	26	$108.17	$161.44	$246.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $706.23 / $754.38 / $1,009.64	Professional	TC	$706.23	$754.38	$1,009.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $322.20 / $647.17 / $1,202.21	Professional		$322.20	$647.17	$1,202.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.61 / $128.24 / $258.64	Professional	26	$84.61	$128.24	$258.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $240.92 / $500.11 / $1,034.14	Professional	TC	$240.92	$500.11	$1,034.14
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $286.52 / $515.78	Professional		$108.47	$286.52	$515.78
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $337.10 / $678.92 / $896.01	Professional		$337.10	$678.92	$896.01
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $103.63 / $205.44 / $271.00	Professional	26	$103.63	$205.44	$271.00
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $233.47 / $465.63 / $610.54	Professional	TC	$233.47	$465.63	$610.54
Health New England Facility/Professional Professional Modifier Low / Median / High Price $125.50 / $169.41 / $697.00	Professional		$125.50	$169.41	$697.00
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $618.08 / $775.84 / $775.84	Facility	26	$618.08	$775.84	$775.84
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $329.04 / $653.01 / $3,551.15	Professional		$329.04	$653.01	$3,551.15
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $85.16 / $136.22 / $665.40	Professional	26	$85.16	$136.22	$665.40
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $232.07 / $514.41 / $3,086.80	Professional	TC	$232.07	$514.41	$3,086.80
United Facility/Professional Professional Modifier Low / Median / High Price $315.42 / $504.67 / $941.21	Professional		$315.42	$504.67	$941.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.93 / $114.28 / $241.64	Professional	26	$81.93	$114.28	$241.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $224.11 / $333.44 / $777.20	Professional	TC	$224.11	$333.44	$777.20