Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.06 / $67.08 / $249.14	Facility	26	$67.06	$67.08	$249.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.04 / $392.47 / $665.13	Professional		$242.04	$392.47	$665.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.08 / $91.22 / $286.33	Professional	26	$67.08	$91.22	$286.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $170.12 / $310.24 / $492.69	Professional	TC	$170.12	$310.24	$492.69
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $200.91 / $625.36 / $785.28	Facility	26	$200.91	$625.36	$785.28
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $308.98 / $625.96 / $3,194.57	Professional		$308.98	$625.96	$3,194.57
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $85.23 / $129.85 / $660.44	Professional	26	$85.23	$129.85	$660.44
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $230.47 / $489.46 / $2,704.69	Professional	TC	$230.47	$489.46	$2,704.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.82 / $80.31 / $108.45	Professional		$48.82	$80.31	$108.45
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $116.29 / $160.62 / $216.91	Professional	26	$116.29	$160.62	$216.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $449.57 / $548.92 / $905.29	Professional	TC	$449.57	$548.92	$905.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.01 / $629.04 / $1,087.74	Professional		$364.01	$629.04	$1,087.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.64 / $127.89 / $260.56	Professional	26	$85.64	$127.89	$260.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $273.43 / $500.09 / $908.09	Professional	TC	$273.43	$500.09	$908.09
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $109.73 / $335.53 / $599.90	Professional		$109.73	$335.53	$599.90
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $381.34 / $755.97 / $997.24	Professional		$381.34	$755.97	$997.24
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $104.86 / $209.13 / $274.22	Professional	26	$104.86	$209.13	$274.22
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $276.48 / $551.41 / $723.02	Professional	TC	$276.48	$551.41	$723.02
Health New England Facility/Professional Professional Modifier Low / Median / High Price $123.70 / $149.59 / $704.65	Professional		$123.70	$149.59	$704.65
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $625.36 / $785.28 / $785.28	Facility	26	$625.36	$785.28	$785.28
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $342.63 / $640.60 / $3,194.57	Professional		$342.63	$640.60	$3,194.57
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $86.86 / $137.81 / $660.44	Professional	26	$86.86	$137.81	$660.44
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $244.04 / $522.12 / $2,704.69	Professional	TC	$244.04	$522.12	$2,704.69
Tufts Facility/Professional Professional Modifier Low / Median / High Price $226.59 / $350.74 / $412.00	Professional		$226.59	$350.74	$412.00
United Facility/Professional Professional Modifier Low / Median / High Price $328.42 / $513.46 / $877.10	Professional		$328.42	$513.46	$877.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.92 / $117.44 / $218.05	Professional	26	$85.92	$117.44	$218.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $235.67 / $366.96 / $691.15	Professional	TC	$235.67	$366.96	$691.15