Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.41 / $118.36 / $246.18	Facility	26	$83.41	$118.36	$246.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.92 / $475.00 / $1,855.15	Professional		$347.92	$475.00	$1,855.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.03 / $128.78 / $281.61	Professional	26	$88.03	$128.78	$281.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $259.89 / $335.00 / $488.08	Professional	TC	$259.89	$335.00	$488.08
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $198.54 / $618.08 / $776.00	Facility	26	$198.54	$618.08	$776.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $401.04 / $644.94 / $3,039.70	Professional		$401.04	$644.94	$3,039.70
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $80.95 / $127.33 / $597.70	Professional	26	$80.95	$127.33	$597.70
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $315.57 / $558.69 / $2,613.88	Professional	TC	$315.57	$558.69	$2,613.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.45 / $79.34 / $107.17	Professional		$57.45	$79.34	$107.17
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $96.47 / $158.69 / $246.50	Professional	26	$96.47	$158.69	$246.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $705.11 / $838.13 / $1,368.34	Professional	TC	$705.11	$838.13	$1,368.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $351.95 / $702.93 / $1,246.77	Professional		$351.95	$702.93	$1,246.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.74 / $127.26 / $256.47	Professional	26	$83.74	$127.26	$256.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $315.57 / $560.71 / $1,077.10	Professional	TC	$315.57	$560.71	$1,077.10
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $108.43 / $386.45 / $683.60	Professional		$108.43	$386.45	$683.60
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $421.89 / $849.69 / $1,103.28	Professional		$421.89	$849.69	$1,103.28
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $103.63 / $206.68 / $271.00	Professional	26	$103.63	$206.68	$271.00
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $318.26 / $634.74 / $832.28	Professional	TC	$318.26	$634.74	$832.28
Health New England Facility/Professional Professional Modifier Low / Median / High Price $118.45 / $125.50 / $696.15	Professional		$118.45	$125.50	$696.15
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $618.08 / $776.00 / $776.00	Facility	26	$618.08	$776.00	$776.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $401.04 / $649.80 / $3,039.70	Professional		$401.04	$649.80	$3,039.70
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $84.86 / $136.13 / $597.70	Professional	26	$84.86	$136.13	$597.70
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $311.64 / $562.64 / $2,613.88	Professional	TC	$311.64	$562.64	$2,613.88
United Facility/Professional Professional Modifier Low / Median / High Price $391.93 / $547.21 / $942.48	Professional		$391.93	$547.21	$942.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $82.16 / $118.24 / $247.53	Professional	26	$82.16	$118.24	$247.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $300.98 / $461.37 / $873.56	Professional	TC	$300.98	$461.37	$873.56