Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.31 / $81.31 / $302.07	Facility	26	$81.31	$81.31	$302.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.20 / $512.36 / $959.40	Professional		$307.20	$512.36	$959.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.31 / $109.76 / $286.64	Professional	26	$81.31	$109.76	$286.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $225.90 / $400.06 / $657.20	Professional	TC	$225.90	$400.06	$657.20
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $242.51 / $422.50 / $950.32	Facility	26	$242.51	$422.50	$950.32
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $398.96 / $658.27 / $2,573.48	Professional		$398.96	$658.27	$2,573.48
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $94.18 / $148.69 / $653.20	Professional	26	$94.18	$148.69	$653.20
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $292.91 / $533.82 / $2,099.33	Professional	TC	$292.91	$533.82	$2,099.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $740.43 / $1,076.55 / $1,713.75	Professional		$740.43	$1,076.55	$1,713.75
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $132.34 / $194.37 / $262.49	Professional	26	$132.34	$194.37	$262.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $453.62 / $738.60 / $1,347.70	Professional		$453.62	$738.60	$1,347.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $106.02 / $152.79 / $314.27	Professional	26	$106.02	$152.79	$314.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $335.53 / $586.79 / $1,067.56	Professional	TC	$335.53	$586.79	$1,067.56
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $132.80 / $420.99 / $750.11	Professional		$132.80	$420.99	$750.11
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $473.91 / $945.17 / $1,239.32	Professional		$473.91	$945.17	$1,239.32
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $126.98 / $253.25 / $332.07	Professional	26	$126.98	$253.25	$332.07
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $346.93 / $687.75 / $907.26	Professional	TC	$346.93	$687.75	$907.26
Health New England Facility/Professional Professional Modifier Low / Median / High Price $149.51 / $216.93 / $608.66	Professional		$149.51	$216.93	$608.66
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $757.60 / $950.32 / $950.32	Facility	26	$757.60	$950.32	$950.32
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $414.89 / $661.71 / $2,573.48	Professional		$414.89	$661.71	$2,573.48
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $104.15 / $150.81 / $653.20	Professional	26	$104.15	$150.81	$653.20
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $304.79 / $533.82 / $2,099.33	Professional	TC	$304.79	$533.82	$2,099.33
Tufts Facility/Professional Professional Modifier Low / Median / High Price $359.00 / $531.62 / $848.54	Professional		$359.00	$531.62	$848.54
United Facility/Professional Professional Modifier Low / Median / High Price $414.89 / $660.96 / $1,304.59	Professional		$414.89	$660.96	$1,304.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $103.63 / $144.47 / $256.01	Professional	26	$103.63	$144.47	$256.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $299.54 / $448.89 / $1,025.15	Professional	TC	$299.54	$448.89	$1,025.15