Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $141.25 / $338.84	Facility	26	$83.18	$141.25	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $467.74 / $1,778.28	Professional		$281.84	$467.74	$1,778.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $151.36 / $467.74	Professional	26	$85.11	$151.36	$467.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $331.13 / $691.83	Professional	TC	$190.55	$331.13	$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 $316.23 / $575.44 / $3,548.13	Professional		$316.23	$575.44	$3,548.13
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $117.49 / $660.69	Professional	26	$74.13	$117.49	$660.69
AllWays Health Partners 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
BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $954.99 / $1,479.11	Professional		$549.54	$954.99	$1,479.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $165.96 / $218.78	Professional	26	$95.50	$165.96	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $616.60 / $1,000.00	Professional		$239.88	$616.60	$1,000.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $123.03 / $251.19	Professional	26	$74.13	$123.03	$251.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $467.74 / $812.83	Professional	TC	$199.53	$467.74	$812.83
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $295.12 / $630.96	Professional		$112.20	$295.12	$630.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $467.74 / $870.96	Professional		$295.12	$467.74	$870.96
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $125.89 / $229.09	Professional	26	$85.11	$125.89	$229.09
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $309.03 / $562.34	Professional	TC	$204.17	$309.03	$562.34
Health New England Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $676.08 / $724.44	Professional		$134.90	$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 $316.23 / $575.44 / $3,548.13	Professional		$316.23	$575.44	$3,548.13
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $117.49 / $660.69	Professional	26	$75.86	$117.49	$660.69
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 $316.23 / $549.54 / $977.24	Professional		$316.23	$549.54	$977.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $117.49 / $251.19	Professional	26	$81.28	$117.49	$251.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $371.54 / $758.58	Professional	TC	$223.87	$371.54	$758.58