Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $142.62 / $142.62 / $297.69	Facility	26	$142.62	$142.62	$297.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.30 / $497.93 / $2,167.50	Professional		$338.30	$497.93	$2,167.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $106.60 / $142.62 / $326.54	Professional	26	$106.60	$142.62	$326.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $285.67 / $366.30 / $931.29	Professional	TC	$285.67	$366.30	$931.29
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $239.70 / $745.12 / $935.44	Facility	26	$239.70	$745.12	$935.44
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $463.64 / $948.93 / $6,160.49	Professional		$463.64	$948.93	$6,160.49
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $90.88 / $153.59 / $894.00	Professional	26	$90.88	$153.59	$894.00
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $355.12 / $725.44 / $5,601.93	Professional	TC	$355.12	$725.44	$5,601.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $148.32 / $195.68 / $297.48	Professional	26	$148.32	$195.68	$297.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $856.88 / $1,152.76 / $1,152.76	Professional	TC	$856.88	$1,152.76	$1,152.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.96 / $901.65 / $1,521.06	Professional		$475.96	$901.65	$1,521.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.01 / $153.58 / $310.32	Professional	26	$102.01	$153.58	$310.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $370.41 / $700.61 / $1,314.24	Professional	TC	$370.41	$700.61	$1,314.24
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $130.77 / $435.01 / $768.96	Professional		$130.77	$435.01	$768.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $479.23 / $950.03 / $1,253.23	Professional		$479.23	$950.03	$1,253.23
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $124.93 / $249.16 / $326.70	Professional	26	$124.93	$249.16	$326.70
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $354.30 / $706.62 / $926.53	Professional	TC	$354.30	$706.62	$926.53
Health New England Facility/Professional Professional Modifier Low / Median / High Price $143.56 / $160.49 / $225.80	Professional		$143.56	$160.49	$225.80
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $745.12 / $935.44 / $935.44	Facility	26	$745.12	$935.44	$935.44
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $464.71 / $1,040.17 / $6,160.49	Professional		$464.71	$1,040.17	$6,160.49
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $102.88 / $164.21 / $894.00	Professional	26	$102.88	$164.21	$894.00
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $356.32 / $859.58 / $5,601.93	Professional	TC	$356.32	$859.58	$5,601.93
United Facility/Professional Professional Modifier Low / Median / High Price $459.06 / $826.31 / $1,446.87	Professional		$459.06	$826.31	$1,446.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $98.50 / $135.99 / $288.93	Professional	26	$98.50	$135.99	$288.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $349.35 / $513.67 / $1,236.86	Professional	TC	$349.35	$513.67	$1,236.86