Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.68 / $74.69 / $277.36	Facility	26	$74.68	$74.69	$277.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.89 / $434.02 / $1,141.00	Professional		$278.89	$434.02	$1,141.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.69 / $98.94 / $217.14	Professional	26	$74.69	$98.94	$217.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $204.20 / $316.17 / $635.99	Professional	TC	$204.20	$316.17	$635.99
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $222.36 / $690.96 / $868.88	Facility	26	$222.36	$690.96	$868.88
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $348.26 / $560.29 / $2,326.86	Professional		$348.26	$560.29	$2,326.86
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $86.75 / $137.93 / $600.70	Professional	26	$86.75	$137.93	$600.70
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $241.02 / $427.43 / $2,909.00	Professional	TC	$241.02	$427.43	$2,909.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $128.69 / $180.63 / $240.06	Professional	26	$128.69	$180.63	$240.06
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $579.85 / $645.71 / $1,333.37	Professional	TC	$579.85	$645.71	$1,333.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.00 / $613.60 / $1,157.25	Professional		$410.00	$613.60	$1,157.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $99.39 / $141.66 / $288.99	Professional	26	$99.39	$141.66	$288.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $300.31 / $451.41 / $878.51	Professional	TC	$300.31	$451.41	$878.51
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $121.43 / $375.12 / $663.08	Professional		$121.43	$375.12	$663.08
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $421.48 / $848.86 / $1,102.21	Professional		$421.48	$848.86	$1,102.21
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $115.92 / $231.19 / $303.14	Professional	26	$115.92	$231.19	$303.14
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $305.56 / $609.41 / $799.07	Professional	TC	$305.56	$609.41	$799.07
Health New England Facility/Professional Professional Modifier Low / Median / High Price $145.24 / $198.68 / $558.75	Professional		$145.24	$198.68	$558.75
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $690.96 / $868.88 / $868.88	Facility	26	$690.96	$868.88	$868.88
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $376.74 / $569.13 / $2,326.86	Professional		$376.74	$569.13	$2,326.86
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $96.06 / $137.93 / $600.70	Professional	26	$96.06	$137.93	$600.70
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $271.04 / $429.54 / $2,909.00	Professional	TC	$271.04	$429.54	$2,909.00
Tufts Facility/Professional Professional Modifier Low / Median / High Price $344.52 / $413.29 / $494.96	Professional		$344.52	$413.29	$494.96
United Facility/Professional Professional Modifier Low / Median / High Price $373.53 / $519.65 / $946.74	Professional		$373.53	$519.65	$946.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $94.96 / $132.49 / $272.05	Professional	26	$94.96	$132.49	$272.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $265.05 / $387.16 / $712.12	Professional	TC	$265.05	$387.16	$712.12