Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.39 / $96.88 / $202.04	Facility	26	$69.39	$96.88	$202.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.69 / $475.00 / $1,779.71	Professional		$275.69	$475.00	$1,779.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.48 / $140.00 / $229.46	Professional	26	$72.48	$140.00	$229.46
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $118.33 / $212.50 / $300.00	Professional	52	$118.33	$212.50	$300.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.50 / $335.00 / $608.32	Professional	TC	$187.50	$335.00	$608.32
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $162.56 / $502.88 / $632.64	Facility	26	$162.56	$502.88	$632.64
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $273.16 / $532.39 / $3,612.22	Professional		$273.16	$532.39	$3,612.22
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $61.45 / $105.10 / $571.29	Professional	26	$61.45	$105.10	$571.29
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $199.42 / $408.15 / $2,545.16	Professional	TC	$199.42	$408.15	$2,545.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.68 / $19.68 / $19.68	Professional		$19.68	$19.68	$19.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $78.70 / $129.46 / $174.83	Professional	26	$78.70	$129.46	$174.83
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $56.62 / $332.67 / $529.79	Professional	52	$56.62	$332.67	$529.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $548.38 / $647.36 / $868.18	Professional	TC	$548.38	$647.36	$868.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.77 / $578.59 / $1,075.93	Professional		$282.77	$578.59	$1,075.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.98 / $104.17 / $210.94	Professional	26	$68.98	$104.17	$210.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $207.16 / $477.15 / $938.65	Professional	TC	$207.16	$477.15	$938.65
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $88.43 / $245.38 / $435.36	Professional		$88.43	$245.38	$435.36
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $284.26 / $563.52 / $743.37	Professional		$284.26	$563.52	$743.37
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $84.38 / $169.94 / $220.66	Professional	26	$84.38	$169.94	$220.66
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $199.88 / $398.64 / $522.71	Professional	TC	$199.88	$398.64	$522.71
Health New England Facility/Professional Professional Modifier Low / Median / High Price $100.32 / $132.71 / $533.79	Professional		$100.32	$132.71	$533.79
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $502.88 / $632.64 / $632.64	Facility	26	$502.88	$632.64	$632.64
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $272.45 / $546.32 / $3,612.22	Professional		$272.45	$546.32	$3,612.22
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $69.91 / $111.43 / $571.29	Professional	26	$69.91	$111.43	$571.29
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $200.12 / $428.93 / $2,545.16	Professional	TC	$200.12	$428.93	$2,545.16
United Facility/Professional Professional Modifier Low / Median / High Price $270.31 / $471.68 / $795.51	Professional		$270.31	$471.68	$795.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.09 / $96.97 / $179.41	Professional	26	$66.09	$96.97	$179.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $195.24 / $286.99 / $622.46	Professional	TC	$195.24	$286.99	$622.46