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 $251.19 / $524.81 / $2,511.89	Professional		$251.19	$524.81	$2,511.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $199.53 / $501.19	Professional	26	$104.71	$199.53	$501.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $436.52 / $1,905.46	Professional	TC	$281.84	$436.52	$1,905.46
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $239.88 / $416.87 / $933.25	Facility	26	$239.88	$416.87	$933.25
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $851.14 / $6,165.95	Professional		$457.09	$851.14	$6,165.95
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $141.25 / $891.25	Professional	26	$89.13	$141.25	$891.25
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $354.81 / $676.08 / $5,623.41	Professional	TC	$354.81	$676.08	$5,623.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,380.38 / $1,862.09	Professional		$812.83	$1,380.38	$1,862.09
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 $407.38 / $831.76 / $1,380.38	Professional		$407.38	$831.76	$1,380.38
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 $309.03 / $660.69 / $1,202.26	Professional	TC	$309.03	$660.69	$1,202.26
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $446.68 / $870.96	Professional		$131.83	$446.68	$870.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $691.83 / $1,202.26	Professional		$446.68	$691.83	$1,202.26
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $154.88 / $281.84	Professional	26	$102.33	$154.88	$281.84
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $331.13 / $478.63 / $870.96	Professional	TC	$331.13	$478.63	$870.96
Health New England Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $165.96 / $208.93	Professional		$144.54	$165.96	$208.93
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $239.88 / $416.87 / $933.25	Facility	26	$239.88	$416.87	$933.25
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $831.76 / $6,165.95	Professional		$457.09	$831.76	$6,165.95
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $141.25 / $891.25	Professional	26	$89.13	$141.25	$891.25
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $354.81 / $645.65 / $5,623.41	Professional	TC	$354.81	$645.65	$5,623.41
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $812.83 / $1,479.11	Professional		$457.09	$812.83	$1,479.11
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 $346.74 / $575.44 / $1,202.26	Professional	TC	$346.74	$575.44	$1,202.26