Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.25 / $114.66 / $239.62	Facility	26	$80.25	$114.66	$239.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.63 / $475.00 / $648.51	Professional		$311.63	$475.00	$648.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.19 / $119.21 / $166.95	Professional	26	$85.19	$119.21	$166.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $226.44 / $335.00 / $533.85	Professional	TC	$226.44	$335.00	$533.85
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $192.30 / $593.12 / $746.48	Facility	26	$192.30	$593.12	$746.48
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $361.62 / $681.25 / $3,491.47	Professional		$361.62	$681.25	$3,491.47
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $73.06 / $124.30 / $667.05	Professional	26	$73.06	$124.30	$667.05
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $275.02 / $543.34 / $3,063.70	Professional	TC	$275.02	$543.34	$3,063.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $110.56 / $155.16 / $237.20	Professional	26	$110.56	$155.16	$237.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $706.78 / $892.78 / $1,199.68	Professional	TC	$706.78	$892.78	$1,199.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.65 / $702.85 / $1,298.03	Professional		$375.65	$702.85	$1,298.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.41 / $123.22 / $250.51	Professional	26	$81.41	$123.22	$250.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $286.24 / $591.86 / $1,135.20	Professional	TC	$286.24	$591.86	$1,135.20
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $104.33 / $339.87 / $600.79	Professional		$104.33	$339.87	$600.79
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $376.42 / $758.11 / $984.38	Professional		$376.42	$758.11	$984.38
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $99.53 / $198.50 / $260.27	Professional	26	$99.53	$198.50	$260.27
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $276.89 / $548.91 / $724.10	Professional	TC	$276.89	$548.91	$724.10
Health New England Facility/Professional Professional Modifier Low / Median / High Price $157.28 / $157.28 / $158.00	Professional		$157.28	$157.28	$158.00
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $593.12 / $746.48 / $746.48	Facility	26	$593.12	$746.48	$746.48
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $361.23 / $711.02 / $3,491.47	Professional		$361.23	$711.02	$3,491.47
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $82.14 / $131.87 / $667.05	Professional	26	$82.14	$131.87	$667.05
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $276.01 / $550.05 / $3,063.70	Professional	TC	$276.01	$550.05	$3,063.70
United Facility/Professional Professional Modifier Low / Median / High Price $357.29 / $571.59 / $955.37	Professional		$357.29	$571.59	$955.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $78.48 / $109.48 / $204.06	Professional	26	$78.48	$109.48	$204.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $268.51 / $496.94 / $888.96	Professional	TC	$268.51	$496.94	$888.96