Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.81 / $67.81 / $251.28	Facility	26	$67.81	$67.81	$251.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.11 / $353.79 / $846.45	Professional		$246.11	$353.79	$846.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.81 / $89.79 / $252.70	Professional	26	$67.81	$89.79	$252.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $178.29 / $260.58 / $756.00	Professional	TC	$178.29	$260.58	$756.00
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $202.61 / $630.16 / $791.44	Facility	26	$202.61	$630.16	$791.44
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $287.48 / $468.06 / $2,077.84	Professional		$287.48	$468.06	$2,077.84
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $78.42 / $125.46 / $547.02	Professional	26	$78.42	$125.46	$547.02
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $213.60 / $358.02 / $2,614.00	Professional	TC	$213.60	$358.02	$2,614.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.83 / $633.66 / $1,082.17	Professional		$66.83	$633.66	$1,082.17
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $110.31 / $162.02 / $218.80	Professional	26	$110.31	$162.02	$218.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.65 / $514.62 / $1,033.06	Professional		$361.65	$514.62	$1,033.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.86 / $128.86 / $263.70	Professional	26	$89.86	$128.86	$263.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $263.45 / $379.51 / $767.78	Professional	TC	$263.45	$379.51	$767.78
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $110.63 / $328.69 / $587.66	Professional		$110.63	$328.69	$587.66
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $376.42 / $752.84 / $984.38	Professional		$376.42	$752.84	$984.38
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $105.68 / $210.77 / $276.36	Professional	26	$105.68	$210.77	$276.36
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $270.75 / $539.98 / $708.04	Professional	TC	$270.75	$539.98	$708.04
Health New England Facility/Professional Professional Modifier Low / Median / High Price $124.19 / $195.44 / $665.55	Professional		$124.19	$195.44	$665.55
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $630.16 / $791.44 / $791.44	Facility	26	$630.16	$791.44	$791.44
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $332.39 / $481.34 / $2,077.84	Professional		$332.39	$481.34	$2,077.84
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $87.61 / $125.71 / $547.02	Professional	26	$87.61	$125.71	$547.02
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $239.63 / $358.38 / $2,614.00	Professional	TC	$239.63	$358.38	$2,614.00
Tufts Facility/Professional Professional Modifier Low / Median / High Price $164.53 / $326.23 / $584.41	Professional		$164.53	$326.23	$584.41
United Facility/Professional Professional Modifier Low / Median / High Price $332.39 / $462.08 / $843.53	Professional		$332.39	$462.08	$843.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $86.60 / $120.84 / $248.12	Professional	26	$86.60	$120.84	$248.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $238.92 / $351.98 / $812.73	Professional	TC	$238.92	$351.98	$812.73