Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $123.03 / $169.82 / $489.78	Facility	26	$123.03	$169.82	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $602.56 / $2,454.71	Professional		$371.54	$602.56	$2,454.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $229.09 / $630.96	Professional	26	$117.49	$229.09	$630.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $354.81 / $870.96	Professional	TC	$251.19	$354.81	$870.96
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $288.40 / $501.19 / $1,122.02	Facility	26	$288.40	$501.19	$1,122.02
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $660.69 / $4,073.80	Professional		$426.58	$660.69	$4,073.80
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $165.96 / $776.25	Professional	26	$104.71	$165.96	$776.25
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $478.63 / $3,388.44	Professional	TC	$302.00	$478.63	$3,388.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,258.93 / $1,905.46	Professional		$741.31	$1,258.93	$1,905.46
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $138.04 / $234.42 / $316.23	Professional	26	$138.04	$234.42	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $776.25 / $1,230.27	Professional		$389.05	$776.25	$1,230.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $177.83 / $363.08	Professional	26	$104.71	$177.83	$363.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $562.34 / $870.96	Professional	TC	$269.15	$562.34	$870.96
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $389.05 / $831.76	Professional		$162.18	$389.05	$831.76
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $645.65 / $1,122.02	Professional		$426.58	$645.65	$1,122.02
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $186.21 / $338.84	Professional	26	$123.03	$186.21	$338.84
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $416.87 / $741.31	Professional	TC	$288.40	$416.87	$741.31
Health New England Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $190.55 / $218.78	Professional		$169.82	$190.55	$218.78
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $288.40 / $501.19 / $1,122.02	Facility	26	$288.40	$501.19	$1,122.02
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $660.69 / $4,073.80	Professional		$426.58	$660.69	$4,073.80
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $169.82 / $776.25	Professional	26	$107.15	$169.82	$776.25
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $478.63 / $3,388.44	Professional	TC	$302.00	$478.63	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $676.08 / $1,148.15	Professional		$426.58	$676.08	$1,148.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $169.82 / $363.08	Professional	26	$120.23	$169.82	$363.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $478.63 / $870.96	Professional	TC	$295.12	$478.63	$870.96