Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.69 / $108.10 / $224.25	Facility	26	$75.69	$108.10	$224.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $475.00 / $747.06	Professional		$250.00	$475.00	$747.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.67 / $140.00 / $245.78	Professional	26	$81.67	$140.00	$245.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $242.49 / $335.00 / $550.91	Professional	TC	$242.49	$335.00	$550.91
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $180.85 / $558.79 / $703.76	Facility	26	$180.85	$558.79	$703.76
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $376.23 / $676.19 / $3,448.60	Professional		$376.23	$676.19	$3,448.60
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $68.16 / $117.22 / $597.70	Professional	26	$68.16	$117.22	$597.70
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $294.55 / $589.10 / $3,030.13	Professional	TC	$294.55	$589.10	$3,030.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $87.59 / $146.41 / $223.81	Professional	26	$87.59	$146.41	$223.81
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $689.11 / $956.14 / $956.14	Professional	TC	$689.11	$956.14	$956.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.35 / $706.93 / $1,131.58	Professional		$387.35	$706.93	$1,131.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.83 / $115.96 / $235.32	Professional	26	$76.83	$115.96	$235.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $306.39 / $573.25 / $977.64	Professional	TC	$306.39	$573.25	$977.64
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $98.40 / $356.77 / $631.36	Professional		$98.40	$356.77	$631.36
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $389.12 / $783.69 / $1,034.28	Professional		$389.12	$783.69	$1,034.28
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $93.80 / $187.07 / $245.30	Professional	26	$93.80	$187.07	$245.30
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $295.32 / $594.77 / $772.29	Professional	TC	$295.32	$594.77	$772.29
Health New England Facility/Professional Professional Modifier Low / Median / High Price $122.50 / $148.07 / $612.85	Professional		$122.50	$148.07	$612.85
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $558.79 / $703.76 / $703.76	Facility	26	$558.79	$703.76	$703.76
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $377.08 / $688.70 / $3,448.60	Professional		$377.08	$688.70	$3,448.60
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $77.45 / $123.84 / $597.70	Professional	26	$77.45	$123.84	$597.70
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $295.58 / $589.10 / $3,030.13	Professional	TC	$295.58	$589.10	$3,030.13
United Facility/Professional Professional Modifier Low / Median / High Price $372.08 / $541.79 / $946.06	Professional		$372.08	$541.79	$946.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.27 / $105.87 / $207.77	Professional	26	$74.27	$105.87	$207.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $283.36 / $423.96 / $794.65	Professional	TC	$283.36	$423.96	$794.65