Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.77 / $89.01 / $186.35	Facility	26	$62.77	$89.01	$186.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.98 / $475.00 / $1,320.50	Professional		$200.98	$475.00	$1,320.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.53 / $140.00 / $306.00	Professional	26	$66.53	$140.00	$306.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $712.50 / $1,032.40 / $1,098.26	Professional	50	$712.50	$1,032.40	$1,098.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.50 / $335.00 / $1,560.08	Professional	TC	$187.50	$335.00	$1,560.08
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $150.07 / $463.68 / $583.84	Facility	26	$150.07	$463.68	$583.84
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $266.66 / $517.05 / $2,873.43	Professional		$266.66	$517.05	$2,873.43
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $56.78 / $96.50 / $531.65	Professional	26	$56.78	$96.50	$531.65
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $199.02 / $407.33 / $2,526.42	Professional	TC	$199.02	$407.33	$2,526.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $86.49 / $121.39 / $185.56	Professional	26	$86.49	$121.39	$185.56
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $822.57 / $969.11 / $969.11	Professional	50	$822.57	$969.11	$969.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $548.38 / $646.07 / $646.07	Professional	TC	$548.38	$646.07	$646.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.55 / $570.85 / $1,060.20	Professional		$276.55	$570.85	$1,060.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.67 / $96.16 / $194.70	Professional	26	$63.67	$96.16	$194.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $206.76 / $474.95 / $933.08	Professional	TC	$206.76	$474.95	$933.08
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $244.87 / $432.87	Professional		$81.59	$244.87	$432.87
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $277.30 / $549.72 / $725.17	Professional		$277.30	$549.72	$725.17
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $77.81 / $156.72 / $203.51	Professional	26	$77.81	$156.72	$203.51
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $199.48 / $397.84 / $521.66	Professional	TC	$199.48	$397.84	$521.66
Health New England Facility/Professional Professional Modifier Low / Median / High Price $89.55 / $114.87 / $536.49	Professional		$89.55	$114.87	$536.49
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $463.68 / $583.84 / $583.84	Facility	26	$463.68	$583.84	$583.84
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $264.63 / $533.32 / $2,873.43	Professional		$264.63	$533.32	$2,873.43
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $64.16 / $102.82 / $531.65	Professional	26	$64.16	$102.82	$531.65
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $199.54 / $427.55 / $2,526.42	Professional	TC	$199.54	$427.55	$2,526.42
United Facility/Professional Professional Modifier Low / Median / High Price $261.64 / $392.38 / $782.70	Professional		$261.64	$392.38	$782.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.57 / $89.13 / $222.72	Professional	26	$61.57	$89.13	$222.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $192.72 / $308.35 / $675.78	Professional	TC	$192.72	$308.35	$675.78