Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $141.25 / $338.84	Facility	26	$83.18	$141.25	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $501.19 / $2,187.76	Professional		$346.74	$501.19	$2,187.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $131.83 / $416.87	Professional	26	$85.11	$131.83	$416.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $354.81 / $812.83	Professional	TC	$257.04	$354.81	$812.83
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $199.53 / $346.74 / $776.25	Facility	26	$199.53	$346.74	$776.25
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $588.84 / $3,019.95	Professional		$389.05	$588.84	$3,019.95
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $117.49 / $851.14	Professional	26	$74.13	$117.49	$851.14
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $309.03 / $478.63 / $2,630.27	Professional	TC	$309.03	$478.63	$2,630.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,230.27 / $1,819.70	Professional		$707.95	$1,230.27	$1,819.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $165.96 / $218.78	Professional	26	$97.72	$165.96	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $660.69 / $1,122.02	Professional		$295.12	$660.69	$1,122.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $123.03 / $251.19	Professional	26	$72.44	$123.03	$251.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $537.03 / $891.25	Professional	TC	$269.15	$537.03	$891.25
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $398.11 / $776.25	Professional		$112.20	$398.11	$776.25
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $575.44 / $1,023.29	Professional		$398.11	$575.44	$1,023.29
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $128.82 / $234.42	Professional	26	$87.10	$128.82	$234.42
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $416.87 / $741.31	Professional	TC	$281.84	$416.87	$741.31
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $199.53 / $346.74 / $776.25	Facility	26	$199.53	$346.74	$776.25
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $588.84 / $3,019.95	Professional		$389.05	$588.84	$3,019.95
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $117.49 / $851.14	Professional	26	$75.86	$117.49	$851.14
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $309.03 / $478.63 / $2,630.27	Professional	TC	$309.03	$478.63	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $562.34 / $1,096.48	Professional		$389.05	$562.34	$1,096.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $117.49 / $251.19	Professional	26	$83.18	$117.49	$251.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $446.68 / $831.76	Professional	TC	$302.00	$446.68	$831.76