Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.86 / $107.15 / $309.03	Facility	26	$75.86	$107.15	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $524.81 / $1,819.70	Professional		$309.03	$524.81	$1,819.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $151.36 / $407.38	Professional	26	$79.43	$151.36	$407.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $354.81 / $724.44	Professional	TC	$245.47	$354.81	$724.44
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $181.97 / $316.23 / $707.95	Facility	26	$181.97	$316.23	$707.95
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $616.60 / $3,467.37	Professional		$371.54	$616.60	$3,467.37
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $107.15 / $602.56	Professional	26	$66.07	$107.15	$602.56
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $524.81 / $3,019.95	Professional	TC	$295.12	$524.81	$3,019.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $151.36 / $199.53	Professional	26	$87.10	$151.36	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $660.69 / $1,071.52	Professional		$331.13	$660.69	$1,071.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $112.20 / $229.09	Professional	26	$66.07	$112.20	$229.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $549.54 / $870.96	Professional	TC	$257.04	$549.54	$870.96
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $371.54 / $724.44	Professional		$102.33	$371.54	$724.44
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $575.44 / $1,000.00	Professional		$380.19	$575.44	$1,000.00
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $117.49 / $213.80	Professional	26	$77.62	$117.49	$213.80
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $407.38 / $724.44	Professional	TC	$281.84	$407.38	$724.44
Health New England Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $144.54 / $616.60	Professional		$123.03	$144.54	$616.60
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $181.97 / $316.23 / $707.95	Facility	26	$181.97	$316.23	$707.95
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $616.60 / $3,467.37	Professional		$371.54	$616.60	$3,467.37
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $107.15 / $602.56	Professional	26	$66.07	$107.15	$602.56
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $524.81 / $3,019.95	Professional	TC	$295.12	$524.81	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $575.44 / $1,071.52	Professional		$371.54	$575.44	$1,071.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $107.15 / $229.09	Professional	26	$74.13	$107.15	$229.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $457.09 / $831.76	Professional	TC	$288.40	$457.09	$831.76