Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.59 / $142.62 / $296.62	Facility	26	$100.59	$142.62	$296.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.18 / $475.00 / $1,077.03	Professional		$316.18	$475.00	$1,077.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $106.36 / $142.62 / $338.30	Professional	26	$106.36	$142.62	$338.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $284.75 / $365.10 / $734.97	Professional	TC	$284.75	$365.10	$734.97
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 $461.65 / $944.86 / $6,160.49	Professional		$461.65	$944.86	$6,160.49
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $90.88 / $153.60 / $883.52	Professional	26	$90.88	$153.60	$883.52
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $353.52 / $722.17 / $5,601.93	Professional	TC	$353.52	$722.17	$5,601.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $130.38 / $191.51 / $258.63	Professional	26	$130.38	$191.51	$258.63
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $858.54 / $1,147.58 / $1,147.58	Professional	TC	$858.54	$1,147.58	$1,147.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.96 / $898.86 / $1,520.10	Professional		$475.96	$898.86	$1,520.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.01 / $153.06 / $309.27	Professional	26	$102.01	$153.06	$309.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $369.19 / $697.55 / $1,310.27	Professional	TC	$369.19	$697.55	$1,310.27
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $130.77 / $433.50 / $766.29	Professional		$130.77	$433.50	$766.29
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $478.00 / $947.59 / $1,250.02	Professional		$478.00	$947.59	$1,250.02
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $124.93 / $251.61 / $326.70	Professional	26	$124.93	$251.61	$326.70
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $353.08 / $704.18 / $923.34	Professional	TC	$353.08	$704.18	$923.34
Health New England Facility/Professional Professional Modifier Low / Median / High Price $147.19 / $182.28 / $839.80	Professional		$147.19	$182.28	$839.80
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 $463.96 / $1,040.17 / $6,160.49	Professional		$463.96	$1,040.17	$6,160.49
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $101.67 / $159.78 / $883.52	Professional	26	$101.67	$159.78	$883.52
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $354.70 / $857.80 / $5,601.93	Professional	TC	$354.70	$857.80	$5,601.93
United Facility/Professional Professional Modifier Low / Median / High Price $458.34 / $816.10 / $1,445.96	Professional		$458.34	$816.10	$1,445.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $98.49 / $141.90 / $263.06	Professional	26	$98.49	$141.90	$263.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $348.63 / $522.94 / $1,236.86	Professional	TC	$348.63	$522.94	$1,236.86