Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.07 / $118.36 / $246.18	Facility	26	$83.07	$118.36	$246.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.61 / $475.00 / $630.00	Professional		$346.61	$475.00	$630.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.03 / $128.16 / $271.82	Professional	26	$88.03	$128.16	$271.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $258.58 / $335.16 / $855.22	Professional	TC	$258.58	$335.16	$855.22
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $198.54 / $615.67 / $772.96	Facility	26	$198.54	$615.67	$772.96
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $399.49 / $643.54 / $3,039.70	Professional		$399.49	$643.54	$3,039.70
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $80.95 / $127.84 / $848.54	Professional	26	$80.95	$127.84	$848.54
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $313.97 / $555.85 / $2,613.88	Professional	TC	$313.97	$555.85	$2,613.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.71 / $80.29 / $122.73	Professional		$55.71	$80.29	$122.73
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $96.05 / $158.00 / $213.38	Professional	26	$96.05	$158.00	$213.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $704.01 / $833.90 / $1,364.97	Professional	TC	$704.01	$833.90	$1,364.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $352.58 / $664.63 / $1,242.79	Professional		$352.58	$664.63	$1,242.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.05 / $128.37 / $257.52	Professional	26	$84.05	$128.37	$257.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $325.68 / $575.00 / $1,055.71	Professional	TC	$325.68	$575.00	$1,055.71
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $107.99 / $384.55 / $680.19	Professional		$107.99	$384.55	$680.19
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $419.84 / $845.56 / $1,097.92	Professional		$419.84	$845.56	$1,097.92
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $103.22 / $205.86 / $269.93	Professional	26	$103.22	$205.86	$269.93
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $316.62 / $631.47 / $827.99	Professional	TC	$316.62	$631.47	$827.99
Health New England Facility/Professional Professional Modifier Low / Median / High Price $121.75 / $164.04 / $692.75	Professional		$121.75	$164.04	$692.75
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $615.67 / $772.96 / $772.96	Facility	26	$615.67	$772.96	$772.96
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $399.49 / $648.19 / $3,039.70	Professional		$399.49	$648.19	$3,039.70
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $84.86 / $136.13 / $848.54	Professional	26	$84.86	$136.13	$848.54
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $313.14 / $561.01 / $2,613.88	Professional	TC	$313.14	$561.01	$2,613.88
United Facility/Professional Professional Modifier Low / Median / High Price $393.74 / $558.73 / $996.46	Professional		$393.74	$558.73	$996.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $82.17 / $109.57 / $230.93	Professional	26	$82.17	$109.57	$230.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $302.43 / $431.91 / $829.41	Professional	TC	$302.43	$431.91	$829.41