Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.15 / $165.96 / $436.52	Facility	26	$107.15	$165.96	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $537.03 / $2,290.87	Professional		$338.84	$537.03	$2,290.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $229.09 / $562.34	Professional	26	$107.15	$229.09	$562.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $338.84 / $912.01	Professional	TC	$218.78	$338.84	$912.01
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $257.04 / $1,000.00 / $1,000.00	Facility	26	$257.04	$1,000.00	$1,000.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $707.95 / $6,309.57	Professional		$371.54	$707.95	$6,309.57
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $151.36 / $933.25	Professional	26	$100.00	$151.36	$933.25
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $537.03 / $5,754.40	Professional	TC	$263.03	$537.03	$5,754.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,122.02 / $1,698.24	Professional		$645.65	$1,122.02	$1,698.24
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $213.80 / $281.84	Professional	26	$123.03	$213.80	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $724.44 / $1,479.11	Professional		$288.40	$724.44	$1,479.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $165.96 / $323.59	Professional	26	$95.50	$165.96	$323.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $524.81 / $1,174.90	Professional	TC	$229.09	$524.81	$1,174.90
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $346.74 / $724.44	Professional		$144.54	$346.74	$724.44
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $575.44 / $1,000.00	Professional		$371.54	$575.44	$1,000.00
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $165.96 / $295.12	Professional	26	$114.82	$165.96	$295.12
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $363.08 / $676.08	Professional	TC	$251.19	$363.08	$676.08
Health New England Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $186.21 / $870.96	Professional		$154.88	$186.21	$870.96
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $257.04 / $1,000.00 / $1,000.00	Facility	26	$257.04	$1,000.00	$1,000.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $691.83 / $6,309.57	Professional		$371.54	$691.83	$6,309.57
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $151.36 / $933.25	Professional	26	$100.00	$151.36	$933.25
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $537.03 / $5,754.40	Professional	TC	$263.03	$537.03	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $660.69 / $1,412.54	Professional		$371.54	$660.69	$1,412.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $151.36 / $323.59	Professional	26	$112.20	$151.36	$323.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $426.58 / $1,023.29	Professional	TC	$257.04	$426.58	$1,023.29