Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $169.82 / $407.38	Facility	26	$102.33	$169.82	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $524.81 / $2,691.53	Professional		$245.47	$524.81	$2,691.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $199.53 / $537.03	Professional	26	$102.33	$199.53	$537.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $436.52 / $1,174.90	Professional	TC	$281.84	$436.52	$1,174.90
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $239.88 / $933.25 / $933.25	Facility	26	$239.88	$933.25	$933.25
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $870.96 / $6,165.95	Professional		$489.78	$870.96	$6,165.95
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $141.25 / $676.08	Professional	26	$89.13	$141.25	$676.08
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $380.19 / $741.31 / $5,623.41	Professional	TC	$380.19	$741.31	$5,623.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,479.11 / $1,995.26	Professional		$870.96	$1,479.11	$1,995.26
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $199.53 / $263.03	Professional	26	$117.49	$199.53	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $812.83 / $1,412.54	Professional		$371.54	$812.83	$1,412.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $147.91 / $302.00	Professional	26	$87.10	$147.91	$302.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $338.84 / $676.08 / $1,174.90	Professional	TC	$338.84	$676.08	$1,174.90
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $478.63 / $933.25	Professional		$131.83	$478.63	$933.25
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $724.44 / $1,230.27	Professional		$446.68	$724.44	$1,230.27
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $154.88 / $269.15	Professional	26	$102.33	$154.88	$269.15
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $363.08 / $524.81 / $933.25	Professional	TC	$363.08	$524.81	$933.25
Health New England Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $169.82 / $223.87	Professional		$144.54	$169.82	$223.87
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $239.88 / $933.25 / $933.25	Facility	26	$239.88	$933.25	$933.25
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $870.96 / $6,165.95	Professional		$489.78	$870.96	$6,165.95
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $141.25 / $676.08	Professional	26	$91.20	$141.25	$676.08
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $380.19 / $691.83 / $5,623.41	Professional	TC	$380.19	$691.83	$5,623.41
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $831.76 / $1,548.82	Professional		$489.78	$831.76	$1,548.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $141.25 / $302.00	Professional	26	$97.72	$141.25	$302.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $371.54 / $616.60 / $1,230.27	Professional	TC	$371.54	$616.60	$1,230.27