Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.11 / $89.01 / $187.43	Facility	26	$63.11	$89.01	$187.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.47 / $504.86 / $1,833.37	Professional		$288.47	$504.86	$1,833.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.28 / $140.00 / $204.10	Professional	26	$68.28	$140.00	$204.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $242.77 / $335.00 / $631.87	Professional	TC	$242.77	$335.00	$631.87
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $150.91 / $466.08 / $586.88	Facility	26	$150.91	$466.08	$586.88
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $364.37 / $598.79 / $2,873.43	Professional		$364.37	$598.79	$2,873.43
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $56.78 / $97.01 / $469.00	Professional	26	$56.78	$97.01	$469.00
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $296.94 / $528.69 / $2,563.91	Professional	TC	$296.94	$528.69	$2,563.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.81 / $122.11 / $162.28	Professional	26	$81.81	$122.11	$162.28
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $548.38 / $921.23 / $921.23	Professional	TC	$548.38	$921.23	$921.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.37 / $606.86 / $1,092.17	Professional		$365.37	$606.86	$1,092.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.00 / $96.68 / $195.75	Professional	26	$64.00	$96.68	$195.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $309.82 / $534.89 / $952.18	Professional	TC	$309.82	$534.89	$952.18
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $82.04 / $357.54 / $610.74	Professional		$82.04	$357.54	$610.74
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $375.19 / $743.78 / $981.16	Professional		$375.19	$743.78	$981.16
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $78.23 / $156.02 / $204.58	Professional	26	$78.23	$156.02	$204.58
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $350.41 / $610.76 / $776.58	Professional	TC	$350.41	$610.76	$776.58
Health New England Facility/Professional Professional Modifier Low / Median / High Price $90.50 / $122.89 / $527.00	Professional		$90.50	$122.89	$527.00
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $466.08 / $586.88 / $586.88	Facility	26	$466.08	$586.88	$586.88
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $364.37 / $628.73 / $2,873.43	Professional		$364.37	$628.73	$2,873.43
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $64.47 / $103.11 / $469.00	Professional	26	$64.47	$103.11	$469.00
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $297.98 / $548.52 / $2,563.91	Professional	TC	$297.98	$548.52	$2,563.91
United Facility/Professional Professional Modifier Low / Median / High Price $358.37 / $502.58 / $1,051.74	Professional		$358.37	$502.58	$1,051.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.01 / $87.04 / $166.49	Professional	26	$61.01	$87.04	$166.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $289.08 / $418.26 / $768.91	Professional	TC	$289.08	$418.26	$768.91