Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.69 / $107.82 / $224.25	Facility	26	$75.69	$107.82	$224.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.47 / $475.00 / $770.05	Professional		$307.47	$475.00	$770.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.46 / $140.00 / $254.63	Professional	26	$82.46	$140.00	$254.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $243.77 / $335.00 / $557.61	Professional	TC	$243.77	$335.00	$557.61
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $180.85 / $558.79 / $703.76	Facility	26	$180.85	$558.79	$703.76
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $375.83 / $674.14 / $3,448.60	Professional		$375.83	$674.14	$3,448.60
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $68.16 / $117.22 / $586.14	Professional	26	$68.16	$117.22	$586.14
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $293.75 / $587.50 / $3,030.13	Professional	TC	$293.75	$587.50	$3,030.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.80 / $72.05 / $97.30	Professional		$43.80	$72.05	$97.30
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $98.10 / $146.41 / $194.58	Professional	26	$98.10	$146.41	$194.58
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $672.01 / $953.57 / $953.57	Professional	TC	$672.01	$953.57	$953.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $386.96 / $704.23 / $1,121.15	Professional		$386.96	$704.23	$1,121.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.83 / $115.96 / $235.32	Professional	26	$76.83	$115.96	$235.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $305.98 / $572.49 / $967.30	Professional	TC	$305.98	$572.49	$967.30
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $98.40 / $354.88 / $627.95	Professional		$98.40	$354.88	$627.95
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $387.07 / $779.56 / $1,028.83	Professional		$387.07	$779.56	$1,028.83
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $93.80 / $187.07 / $245.30	Professional	26	$93.80	$187.07	$245.30
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $293.27 / $584.90 / $766.93	Professional	TC	$293.27	$584.90	$766.93
Health New England Facility/Professional Professional Modifier Low / Median / High Price $122.37 / $146.84 / $615.40	Professional		$122.37	$146.84	$615.40
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $558.79 / $703.76 / $703.76	Facility	26	$558.79	$703.76	$703.76
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $376.34 / $683.97 / $3,448.60	Professional		$376.34	$683.97	$3,448.60
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $77.80 / $123.84 / $586.14	Professional	26	$77.80	$123.84	$586.14
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $294.79 / $587.50 / $3,030.13	Professional	TC	$294.79	$587.50	$3,030.13
United Facility/Professional Professional Modifier Low / Median / High Price $371.36 / $557.11 / $974.34	Professional		$371.36	$557.11	$974.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.27 / $105.32 / $207.77	Professional	26	$74.27	$105.32	$207.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $287.63 / $422.90 / $802.38	Professional	TC	$287.63	$422.90	$802.38