Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $120.19 / $169.86 / $352.77	Facility	26	$120.19	$169.86	$352.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.07 / $494.18 / $2,483.85	Professional		$376.07	$494.18	$2,483.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $119.21 / $166.95 / $561.00	Professional	26	$119.21	$166.95	$561.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $250.90 / $335.00 / $626.16	Professional	TC	$250.90	$335.00	$626.16
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $285.44 / $888.48 / $1,118.24	Facility	26	$285.44	$888.48	$1,118.24
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $431.84 / $744.91 / $4,036.70	Professional		$431.84	$744.91	$4,036.70
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $107.45 / $179.17 / $771.93	Professional	26	$107.45	$179.17	$771.93
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $302.52 / $578.98 / $3,390.79	Professional	TC	$302.52	$578.98	$3,390.79
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $176.95 / $233.63 / $308.79	Professional	26	$176.95	$233.63	$308.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $699.60 / $982.01 / $1,319.72	Professional	TC	$699.60	$982.01	$1,319.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $447.64 / $811.57 / $1,286.53	Professional		$447.64	$811.57	$1,286.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $121.95 / $184.45 / $367.91	Professional	26	$121.95	$184.45	$367.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $314.93 / $590.78 / $1,023.79	Professional	TC	$314.93	$590.78	$1,023.79
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $156.25 / $371.40 / $687.28	Professional		$156.25	$371.40	$687.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $449.33 / $904.95 / $1,175.04	Professional		$449.33	$904.95	$1,175.04
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $149.09 / $297.35 / $389.89	Professional	26	$149.09	$297.35	$389.89
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $300.24 / $600.48 / $785.16	Professional	TC	$300.24	$600.48	$785.16
Health New England Facility/Professional Professional Modifier Low / Median / High Price $171.04 / $191.01 / $315.27	Professional		$171.04	$191.01	$315.27
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $888.48 / $1,118.24 / $1,118.24	Facility	26	$888.48	$1,118.24	$1,118.24
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $428.94 / $807.61 / $4,036.70	Professional		$428.94	$807.61	$4,036.70
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $122.08 / $183.04 / $771.93	Professional	26	$122.08	$183.04	$771.93
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $296.30 / $599.61 / $3,390.79	Professional	TC	$296.30	$599.61	$3,390.79
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $639.87 / $1,118.44	Professional		$426.58	$639.87	$1,118.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $120.33 / $168.39 / $346.47	Professional	26	$120.33	$168.39	$346.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $296.30 / $444.45 / $870.82	Professional	TC	$296.30	$444.45	$870.82