Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $109.65 / $263.03	Facility	26	$51.29	$109.65	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $380.19 / $1,412.54	Professional		$229.09	$380.19	$1,412.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $102.33 / $223.87	Professional	26	$60.26	$102.33	$223.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $281.84 / $1,023.29	Professional	TC	$158.49	$281.84	$1,023.29
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $154.88 / $602.56 / $602.56	Facility	26	$154.88	$602.56	$602.56
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $426.58 / $2,398.83	Professional		$234.42	$426.58	$2,398.83
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $93.33 / $537.03	Professional	26	$57.54	$93.33	$537.03
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $346.74 / $2,630.27	Professional	TC	$199.53	$346.74	$2,630.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $676.08 / $1,071.52	Professional		$389.05	$676.08	$1,071.52
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $128.82 / $169.82	Professional	26	$74.13	$128.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $457.09 / $891.25	Professional		$229.09	$457.09	$891.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $95.50 / $194.98	Professional	26	$56.23	$95.50	$194.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $380.19 / $691.83	Professional	TC	$177.83	$380.19	$691.83
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $302.00 / $588.84	Professional		$87.10	$302.00	$588.84
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $436.52 / $741.31	Professional		$269.15	$436.52	$741.31
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $97.72 / $169.82	Professional	26	$66.07	$97.72	$169.82
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $323.59 / $562.34	Professional	TC	$213.80	$323.59	$562.34
Health New England Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $117.49 / $575.44	Professional		$95.50	$117.49	$575.44
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $154.88 / $602.56 / $602.56	Facility	26	$154.88	$602.56	$602.56
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $426.58 / $2,398.83	Professional		$234.42	$426.58	$2,398.83
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $93.33 / $537.03	Professional	26	$58.88	$93.33	$537.03
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $338.84 / $2,630.27	Professional	TC	$199.53	$338.84	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $416.87 / $812.83	Professional		$281.84	$416.87	$812.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $93.33 / $194.98	Professional	26	$64.57	$93.33	$194.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $323.59 / $616.60	Professional	TC	$213.80	$323.59	$616.60