Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.84 / $78.70 / $260.61	Facility	26	$69.84	$78.70	$260.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.88 / $388.47 / $624.48	Professional		$260.88	$388.47	$624.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.84 / $94.74 / $299.61	Professional	26	$69.84	$94.74	$299.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $170.48 / $309.93 / $397.41	Professional	TC	$170.48	$309.93	$397.41
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $208.79 / $649.67 / $816.32	Facility	26	$208.79	$649.67	$816.32
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $330.20 / $580.50 / $2,965.02	Professional		$330.20	$580.50	$2,965.02
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $85.23 / $134.40 / $561.99	Professional	26	$85.23	$134.40	$561.99
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $257.47 / $492.70 / $2,472.65	Professional	TC	$257.47	$492.70	$2,472.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $120.82 / $166.87 / $225.35	Professional	26	$120.82	$166.87	$225.35
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $675.29 / $675.29 / $822.57	Professional	50	$675.29	$675.29	$822.57
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $450.19 / $450.19 / $548.38	Professional	TC	$450.19	$450.19	$548.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $621.66 / $1,092.96	Professional		$384.85	$621.66	$1,092.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.17 / $132.40 / $271.70	Professional	26	$88.17	$132.40	$271.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $290.47 / $490.37 / $888.99	Professional	TC	$290.47	$490.37	$888.99
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $114.05 / $356.31 / $636.79	Professional		$114.05	$356.31	$636.79
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $402.64 / $798.19 / $1,052.94	Professional		$402.64	$798.19	$1,052.94
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $108.95 / $217.29 / $284.92	Professional	26	$108.95	$217.29	$284.92
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $293.68 / $585.72 / $768.00	Professional	TC	$293.68	$585.72	$768.00
Health New England Facility/Professional Professional Modifier Low / Median / High Price $136.51 / $154.16 / $275.75	Professional		$136.51	$154.16	$275.75
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $649.67 / $816.32 / $816.32	Facility	26	$649.67	$816.32	$816.32
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $364.10 / $639.89 / $2,965.02	Professional		$364.10	$639.89	$2,965.02
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $89.57 / $143.11 / $561.99	Professional	26	$89.57	$143.11	$561.99
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $274.26 / $520.14 / $2,472.65	Professional	TC	$274.26	$520.14	$2,472.65
United Facility/Professional Professional Modifier Low / Median / High Price $360.90 / $517.60 / $897.64	Professional		$360.90	$517.60	$897.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.42 / $118.76 / $220.66	Professional	26	$87.42	$118.76	$220.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $264.89 / $397.35 / $686.67	Professional	TC	$264.89	$397.35	$686.67