Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $151.36 / $416.87	Facility	26	$102.33	$151.36	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $575.44 / $2,754.23	Professional		$354.81	$575.44	$2,754.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $186.21 / $512.86	Professional	26	$97.72	$186.21	$512.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $416.87 / $1,621.81	Professional	TC	$245.47	$416.87	$1,621.81
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $245.47 / $426.58 / $954.99	Facility	26	$245.47	$426.58	$954.99
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $776.25 / $6,165.95	Professional		$398.11	$776.25	$6,165.95
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $144.54 / $891.25	Professional	26	$91.20	$144.54	$891.25
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $575.44 / $5,623.41	Professional	TC	$295.12	$575.44	$5,623.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,202.26 / $1,819.70	Professional		$691.83	$1,202.26	$1,819.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $204.17 / $269.15	Professional	26	$117.49	$204.17	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $794.33 / $1,412.54	Professional		$389.05	$794.33	$1,412.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $151.36 / $309.03	Professional	26	$89.13	$151.36	$309.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $588.84 / $1,174.90	Professional	TC	$288.40	$588.84	$1,174.90
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $371.54 / $794.33	Professional		$138.04	$371.54	$794.33
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $602.56 / $1,047.13	Professional		$371.54	$602.56	$1,047.13
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $158.49 / $288.40	Professional	26	$104.71	$158.49	$288.40
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $398.11 / $741.31	Professional	TC	$275.42	$398.11	$741.31
Health New England Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $173.78 / $851.14	Professional		$147.91	$173.78	$851.14
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $245.47 / $426.58 / $954.99	Facility	26	$245.47	$426.58	$954.99
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $758.58 / $6,165.95	Professional		$398.11	$758.58	$6,165.95
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $144.54 / $891.25	Professional	26	$93.33	$144.54	$891.25
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $575.44 / $5,623.41	Professional	TC	$295.12	$575.44	$5,623.41
Tufts Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $602.56 / $741.31	Professional		$416.87	$602.56	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $724.44 / $1,445.44	Professional		$398.11	$724.44	$1,445.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $144.54 / $309.03	Professional	26	$102.33	$144.54	$309.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $489.78 / $1,047.13	Professional	TC	$281.84	$489.78	$1,047.13