Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.17 / $151.58 / $315.89	Facility	26	$107.17	$151.58	$315.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.64 / $534.69 / $1,929.85	Professional		$350.64	$534.69	$1,929.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $113.08 / $151.58 / $389.07	Professional	26	$113.08	$151.58	$389.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $217.93 / $335.00 / $631.87	Professional	TC	$217.93	$335.00	$631.87
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $254.53 / $794.00 / $996.56	Facility	26	$254.53	$794.00	$996.56
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $379.94 / $792.17 / $6,385.74	Professional		$379.94	$792.17	$6,385.74
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $108.45 / $170.57 / $931.20	Professional	26	$108.45	$170.57	$931.20
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $264.67 / $562.72 / $5,717.71	Professional	TC	$264.67	$562.72	$5,717.71
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $155.04 / $207.35 / $316.92	Professional	26	$155.04	$207.35	$316.92
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $859.16 / $862.39 / $1,151.96	Professional	TC	$859.16	$862.39	$1,151.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.94 / $763.60 / $1,613.85	Professional		$379.94	$763.60	$1,613.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $115.28 / $170.77 / $335.70	Professional	26	$115.28	$170.77	$335.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $274.85 / $569.55 / $1,252.30	Professional	TC	$274.85	$569.55	$1,252.30
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $139.32 / $331.51 / $609.83	Professional		$139.32	$331.51	$609.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $398.95 / $803.49 / $1,043.29	Professional		$398.95	$803.49	$1,043.29
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $133.12 / $265.49 / $348.12	Professional	26	$133.12	$265.49	$348.12
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $265.83 / $531.66 / $695.17	Professional	TC	$265.83	$531.66	$695.17
Health New England Facility/Professional Professional Modifier Low / Median / High Price $156.81 / $221.66 / $786.25	Professional		$156.81	$221.66	$786.25
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $794.00 / $996.56 / $996.56	Facility	26	$794.00	$996.56	$996.56
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $389.49 / $987.82 / $6,385.74	Professional		$389.49	$987.82	$6,385.74
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $111.21 / $175.94 / $931.20	Professional	26	$111.21	$175.94	$931.20
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $265.35 / $647.24 / $5,717.71	Professional	TC	$265.35	$647.24	$5,717.71
Tufts Facility/Professional Professional Modifier Low / Median / High Price $366.68 / $481.47 / $1,226.74	Professional		$366.68	$481.47	$1,226.74
United Facility/Professional Professional Modifier Low / Median / High Price $373.53 / $655.13 / $1,432.79	Professional		$373.53	$655.13	$1,432.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $109.31 / $151.62 / $309.41	Professional	26	$109.31	$151.62	$309.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $256.24 / $384.36 / $1,031.16	Professional	TC	$256.24	$384.36	$1,031.16