Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.83 / $66.83 / $248.96	Facility	26	$66.83	$66.83	$248.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.04 / $383.93 / $618.64	Professional		$240.04	$383.93	$618.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.83 / $85.98 / $183.18	Professional	26	$66.83	$85.98	$183.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $170.12 / $309.93 / $380.41	Professional	TC	$170.12	$309.93	$380.41
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $198.45 / $618.08 / $776.08	Facility	26	$198.45	$618.08	$776.08
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $307.82 / $604.73 / $3,174.35	Professional		$307.82	$604.73	$3,174.35
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $81.66 / $126.99 / $554.78	Professional	26	$81.66	$126.99	$554.78
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $230.82 / $489.46 / $2,704.69	Professional	TC	$230.82	$489.46	$2,704.69
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $107.99 / $158.61 / $214.20	Professional	26	$107.99	$158.61	$214.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $449.57 / $548.38 / $905.29	Professional	TC	$449.57	$548.38	$905.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.29 / $626.67 / $1,030.06	Professional		$362.29	$626.67	$1,030.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.40 / $126.34 / $259.56	Professional	26	$84.40	$126.34	$259.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $273.04 / $491.35 / $851.59	Professional	TC	$273.04	$491.35	$851.59
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $108.42 / $335.04 / $599.02	Professional		$108.42	$335.04	$599.02
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $379.70 / $749.53 / $992.95	Professional		$379.70	$749.53	$992.95
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $103.63 / $205.44 / $271.00	Professional	26	$103.63	$205.44	$271.00
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $276.07 / $550.59 / $721.95	Professional	TC	$276.07	$550.59	$721.95
Health New England Facility/Professional Professional Modifier Low / Median / High Price $164.66 / $164.66 / $173.00	Professional		$164.66	$164.66	$173.00
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $618.08 / $776.08 / $776.08	Facility	26	$618.08	$776.08	$776.08
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $341.88 / $631.13 / $3,174.35	Professional		$341.88	$631.13	$3,174.35
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $85.12 / $136.09 / $554.78	Professional	26	$85.12	$136.09	$554.78
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $244.42 / $518.15 / $2,704.69	Professional	TC	$244.42	$518.15	$2,704.69
United Facility/Professional Professional Modifier Low / Median / High Price $330.20 / $571.12 / $1,046.44	Professional		$330.20	$571.12	$1,046.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $82.95 / $118.32 / $229.54	Professional	26	$82.95	$118.32	$229.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $236.02 / $354.03 / $692.23	Professional	TC	$236.02	$354.03	$692.23