Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $101.04 / $142.62 / $296.62	Facility	26	$101.04	$142.62	$296.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.23 / $475.00 / $2,205.75	Professional		$300.23	$475.00	$2,205.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $105.97 / $145.65 / $336.50	Professional	26	$105.97	$145.65	$336.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $248.84 / $357.87 / $931.29	Professional	TC	$248.84	$357.87	$931.29
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $238.85 / $745.12 / $935.44	Facility	26	$238.85	$745.12	$935.44
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $401.88 / $837.92 / $6,158.29	Professional		$401.88	$837.92	$6,158.29
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $90.50 / $156.62 / $733.09	Professional	26	$90.50	$156.62	$733.09
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $294.14 / $613.29 / $5,601.93	Professional	TC	$294.14	$613.29	$5,601.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $65.20 / $126.65	Professional		$39.50	$65.20	$126.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $138.66 / $194.61 / $258.63	Professional	26	$138.66	$194.61	$258.63
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $865.71 / $954.86 / $954.86	Professional	TC	$865.71	$954.86	$954.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $401.88 / $798.23 / $1,591.39	Professional		$401.88	$798.23	$1,591.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $96.66 / $151.66 / $309.27	Professional	26	$96.66	$151.66	$309.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $306.16 / $633.02 / $1,389.04	Professional	TC	$306.16	$633.02	$1,389.04
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $130.77 / $362.02 / $642.75	Professional		$130.77	$362.02	$642.75
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $419.84 / $845.56 / $1,097.92	Professional		$419.84	$845.56	$1,097.92
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 $294.91 / $588.16 / $771.22	Professional	TC	$294.91	$588.16	$771.22
Health New England Facility/Professional Professional Modifier Low / Median / High Price $142.61 / $182.28 / $305.39	Professional		$142.61	$182.28	$305.39
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 $413.00 / $1,006.03 / $6,158.29	Professional		$413.00	$1,006.03	$6,158.29
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $102.19 / $163.65 / $733.09	Professional	26	$102.19	$163.65	$733.09
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $295.19 / $726.47 / $5,601.93	Professional	TC	$295.19	$726.47	$5,601.93
United Facility/Professional Professional Modifier Low / Median / High Price $396.26 / $620.14 / $1,394.26	Professional		$396.26	$620.14	$1,394.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $98.06 / $143.66 / $314.45	Professional	26	$98.06	$143.66	$314.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $286.91 / $459.06 / $1,069.14	Professional	TC	$286.91	$459.06	$1,069.14