Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.60 / $89.60 / $332.32	Facility	26	$89.60	$89.60	$332.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.27 / $260.10 / $350.49	Professional		$187.27	$260.10	$350.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.60 / $114.96 / $176.10	Professional	26	$89.60	$114.96	$176.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.67 / $126.49 / $213.64	Professional	TC	$97.67	$126.49	$213.64
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $266.42 / $830.40 / $1,043.04	Facility	26	$266.42	$830.40	$1,043.04
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $389.07 / $658.11 / $1,992.01	Professional		$389.07	$658.11	$1,992.01
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $97.14 / $163.28 / $717.76	Professional	26	$97.14	$163.28	$717.76
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $291.56 / $517.64 / $1,492.96	Professional	TC	$291.56	$517.64	$1,492.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $378.48 / $546.90 / $879.24	Professional		$378.48	$546.90	$879.24
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $154.59 / $213.52 / $288.35	Professional	26	$154.59	$213.52	$288.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $448.66 / $732.63 / $1,421.37	Professional		$448.66	$732.63	$1,421.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $112.85 / $166.41 / $346.84	Professional	26	$112.85	$166.41	$346.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $343.99 / $588.12 / $1,087.11	Professional	TC	$343.99	$588.12	$1,087.11
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $145.81 / $452.47 / $784.79	Professional		$145.81	$452.47	$784.79
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $512.00 / $1,010.69 / $1,338.93	Professional		$512.00	$1,010.69	$1,338.93
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $139.26 / $276.07 / $364.18	Professional	26	$139.26	$276.07	$364.18
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $372.74 / $743.39 / $974.75	Professional	TC	$372.74	$743.39	$974.75
Health New England Facility/Professional Professional Modifier Low / Median / High Price $159.19 / $168.50 / $352.19	Professional		$159.19	$168.50	$352.19
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $830.40 / $1,043.04 / $1,043.04	Facility	26	$830.40	$1,043.04	$1,043.04
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $436.54 / $676.28 / $1,992.01	Professional		$436.54	$676.28	$1,992.01
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $108.55 / $165.68 / $717.76	Professional	26	$108.55	$165.68	$717.76
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $332.82 / $517.64 / $1,492.96	Professional	TC	$332.82	$517.64	$1,492.96
United Facility/Professional Professional Modifier Low / Median / High Price $426.89 / $654.34 / $1,396.02	Professional		$426.89	$654.34	$1,396.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $103.72 / $152.03 / $282.02	Professional	26	$103.72	$152.03	$282.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $326.91 / $471.04 / $1,062.89	Professional	TC	$326.91	$471.04	$1,062.89