Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.98 / $150.25 / $311.99	Facility	26	$107.98	$150.25	$311.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.10 / $575.65 / $3,406.05	Professional		$352.10	$575.65	$3,406.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.57 / $150.25 / $348.00	Professional	26	$102.57	$150.25	$348.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $259.35 / $368.50 / $1,020.42	Professional	TC	$259.35	$368.50	$1,020.42
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $243.58 / $759.68 / $954.08	Facility	26	$243.58	$759.68	$954.08
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $402.82 / $872.67 / $6,206.15	Professional		$402.82	$872.67	$6,206.15
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $95.17 / $156.63 / $891.52	Professional	26	$95.17	$156.63	$891.52
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $292.56 / $599.91 / $5,621.63	Professional	TC	$292.56	$599.91	$5,621.63
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $118.69 / $195.25 / $263.67	Professional	26	$118.69	$195.25	$263.67
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $865.71 / $949.67 / $1,278.06	Professional	TC	$865.71	$949.67	$1,278.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $418.21 / $816.17 / $1,596.78	Professional		$418.21	$816.17	$1,596.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.04 / $156.09 / $317.41	Professional	26	$104.04	$156.09	$317.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $304.94 / $629.59 / $1,384.27	Professional	TC	$304.94	$629.59	$1,384.27
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $133.34 / $360.52 / $644.52	Professional		$133.34	$360.52	$644.52
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $421.07 / $848.04 / $1,101.14	Professional		$421.07	$848.04	$1,101.14
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $127.39 / $254.07 / $333.14	Professional	26	$127.39	$254.07	$333.14
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $293.68 / $585.72 / $768.00	Professional	TC	$293.68	$585.72	$768.00
Health New England Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $205.21 / $809.65	Professional		$150.00	$205.21	$809.65
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $759.68 / $954.08 / $954.08	Facility	26	$759.68	$954.08	$954.08
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $400.53 / $1,013.14 / $6,206.15	Professional		$400.53	$1,013.14	$6,206.15
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $103.66 / $166.85 / $891.52	Professional	26	$103.66	$166.85	$891.52
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $293.58 / $722.93 / $5,621.63	Professional	TC	$293.58	$722.93	$5,621.63
Tufts Facility/Professional Professional Modifier Low / Median / High Price $436.69 / $621.51 / $815.79	Professional		$436.69	$621.51	$815.79
United Facility/Professional Professional Modifier Low / Median / High Price $397.35 / $759.63 / $1,402.80	Professional		$397.35	$759.63	$1,402.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $102.26 / $140.27 / $269.99	Professional	26	$102.26	$140.27	$269.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $285.47 / $424.78 / $1,045.94	Professional	TC	$285.47	$424.78	$1,045.94