Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.98 / $150.25 / $311.99	Facility	26	$107.98	$150.25	$311.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $372.85 / $598.50 / $2,467.00	Professional		$372.85	$598.50	$2,467.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $111.15 / $158.62 / $354.48	Professional	26	$111.15	$158.62	$354.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $259.35 / $351.08 / $831.86	Professional	TC	$259.35	$351.08	$831.86
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $243.58 / $759.68 / $954.08	Facility	26	$243.58	$759.68	$954.08
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $401.23 / $869.22 / $6,206.15	Professional		$401.23	$869.22	$6,206.15
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $95.17 / $156.63 / $891.52	Professional	26	$95.17	$156.63	$891.52
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $290.97 / $596.66 / $5,621.63	Professional	TC	$290.97	$596.66	$5,621.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.69 / $97.63 / $131.85	Professional		$70.69	$97.63	$131.85
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $141.36 / $198.40 / $263.67	Professional	26	$141.36	$198.40	$263.67
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $865.71 / $944.53 / $1,271.24	Professional	TC	$865.71	$944.53	$1,271.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.58 / $813.28 / $1,594.39	Professional		$416.58	$813.28	$1,594.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.04 / $156.09 / $317.41	Professional	26	$104.04	$156.09	$317.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $303.31 / $626.16 / $1,381.88	Professional	TC	$303.31	$626.16	$1,381.88
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $133.34 / $358.50 / $641.99	Professional		$133.34	$358.50	$641.99
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $419.43 / $844.73 / $1,096.84	Professional		$419.43	$844.73	$1,096.84
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $127.39 / $254.07 / $333.14	Professional	26	$127.39	$254.07	$333.14
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $292.04 / $582.44 / $763.71	Professional	TC	$292.04	$582.44	$763.71
Health New England Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $205.21 / $827.05	Professional		$150.00	$205.21	$827.05
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $759.68 / $954.08 / $954.08	Facility	26	$759.68	$954.08	$954.08
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $399.78 / $1,013.14 / $6,206.15	Professional		$399.78	$1,013.14	$6,206.15
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $103.67 / $166.85 / $891.52	Professional	26	$103.67	$166.85	$891.52
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $291.99 / $722.02 / $5,621.63	Professional	TC	$291.99	$722.02	$5,621.63
Tufts Facility/Professional Professional Modifier Low / Median / High Price $433.00 / $631.74 / $814.65	Professional		$433.00	$631.74	$814.65
United Facility/Professional Professional Modifier Low / Median / High Price $396.62 / $761.29 / $1,402.80	Professional		$396.62	$761.29	$1,402.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $102.26 / $144.66 / $264.08	Professional	26	$102.26	$144.66	$264.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $284.74 / $512.53 / $1,269.18	Professional	TC	$284.74	$512.53	$1,269.18