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 / $316.97	Facility	26	$152.12	$152.13	$316.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.58 / $532.64 / $1,830.98	Professional		$330.58	$532.64	$1,830.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $111.15 / $152.13 / $356.93	Professional	26	$111.15	$152.13	$356.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $217.27 / $335.00 / $828.02	Professional	TC	$217.27	$335.00	$828.02
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 $379.15 / $790.53 / $6,330.97	Professional		$379.15	$790.53	$6,330.97
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $99.55 / $164.21 / $921.60	Professional	26	$99.55	$164.21	$921.60
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $263.87 / $562.14 / $5,717.71	Professional	TC	$263.87	$562.14	$5,717.71
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $124.03 / $207.33 / $316.92	Professional	26	$124.03	$207.33	$316.92
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $856.55 / $856.55 / $1,148.54	Professional	TC	$856.55	$856.55	$1,148.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.15 / $756.65 / $1,598.16	Professional		$379.15	$756.65	$1,598.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $108.68 / $167.71 / $329.56	Professional	26	$108.68	$167.71	$329.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $274.04 / $567.85 / $1,248.83	Professional	TC	$274.04	$567.85	$1,248.83
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $139.32 / $327.79 / $608.58	Professional		$139.32	$327.79	$608.58
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $398.13 / $801.83 / $1,041.15	Professional		$398.13	$801.83	$1,041.15
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 $265.01 / $528.54 / $693.03	Professional	TC	$265.01	$528.54	$693.03
Health New England Facility/Professional Professional Modifier Low / Median / High Price $156.81 / $216.27 / $336.71	Professional		$156.81	$216.27	$336.71
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 $388.73 / $985.80 / $6,330.97	Professional		$388.73	$985.80	$6,330.97
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $109.31 / $175.05 / $921.60	Professional	26	$109.31	$175.05	$921.60
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $264.60 / $645.46 / $5,717.71	Professional	TC	$264.60	$645.46	$5,717.71
United Facility/Professional Professional Modifier Low / Median / High Price $372.81 / $726.60 / $1,389.05	Professional		$372.81	$726.60	$1,389.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $106.28 / $146.69 / $280.31	Professional	26	$106.28	$146.69	$280.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $255.52 / $383.28 / $1,049.88	Professional	TC	$255.52	$383.28	$1,049.88