Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $152.12 / $152.13 / $315.89	Facility	26	$152.12	$152.13	$315.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.89 / $522.50 / $3,390.96	Professional		$331.89	$522.50	$3,390.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.31 / $152.13 / $387.35	Professional	26	$109.31	$152.13	$387.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.58 / $335.00 / $1,061.50	Professional	TC	$218.58	$335.00	$1,061.50
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 $380.74 / $793.84 / $6,381.10	Professional		$380.74	$793.84	$6,381.10
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $108.08 / $170.57 / $931.20	Professional	26	$108.08	$170.57	$931.20
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $265.45 / $559.51 / $5,717.71	Professional	TC	$265.45	$559.51	$5,717.71
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $124.03 / $204.03 / $275.52	Professional	26	$124.03	$204.03	$275.52
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $795.07 / $861.73 / $1,155.36	Professional	TC	$795.07	$861.73	$1,155.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.74 / $753.50 / $1,528.13	Professional		$380.74	$753.50	$1,528.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.88 / $167.19 / $329.56	Professional	26	$110.88	$167.19	$329.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $265.45 / $561.38 / $1,238.94	Professional	TC	$265.45	$561.38	$1,238.94
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $139.32 / $331.51 / $611.11	Professional		$139.32	$331.51	$611.11
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $399.77 / $805.14 / $1,045.44	Professional		$399.77	$805.14	$1,045.44
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 $266.64 / $531.80 / $697.32	Professional	TC	$266.64	$531.80	$697.32
Health New England Facility/Professional Professional Modifier Low / Median / High Price $156.81 / $221.66 / $309.54	Professional		$156.81	$221.66	$309.54
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 $390.24 / $989.83 / $6,381.10	Professional		$390.24	$989.83	$6,381.10
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 $266.10 / $649.92 / $5,717.71	Professional	TC	$266.10	$649.92	$5,717.71
United Facility/Professional Professional Modifier Low / Median / High Price $376.02 / $749.57 / $1,400.23	Professional		$376.02	$749.57	$1,400.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $110.62 / $151.62 / $346.32	Professional	26	$110.62	$151.62	$346.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $256.95 / $412.91 / $1,025.01	Professional	TC	$256.95	$412.91	$1,025.01