Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.53 / $87.53 / $326.50	Facility	26	$87.53	$87.53	$326.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.20 / $372.31 / $1,214.50	Professional		$263.20	$372.31	$1,214.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.53 / $119.07 / $332.50	Professional	26	$87.53	$119.07	$332.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $170.16 / $244.38 / $463.77	Professional	TC	$170.16	$244.38	$463.77
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $264.08 / $822.80 / $1,034.56	Facility	26	$264.08	$822.80	$1,034.56
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $344.81 / $673.76 / $2,091.94	Professional		$344.81	$673.76	$2,091.94
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $101.31 / $160.84 / $711.82	Professional	26	$101.31	$160.84	$711.82
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $230.95 / $483.24 / $1,773.11	Professional	TC	$230.95	$483.24	$1,773.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.85 / $488.34 / $924.25	Professional		$90.85	$488.34	$924.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $153.19 / $215.02 / $285.75	Professional	26	$153.19	$215.02	$285.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.51 / $713.36 / $1,239.32	Professional		$389.51	$713.36	$1,239.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $112.83 / $166.12 / $340.57	Professional	26	$112.83	$166.12	$340.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $266.72 / $510.35 / $937.15	Professional	TC	$266.72	$510.35	$937.15
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $144.57 / $333.12 / $608.95	Professional		$144.57	$333.12	$608.95
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $403.05 / $762.61 / $1,054.02	Professional		$403.05	$762.61	$1,054.02
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $138.04 / $272.49 / $360.99	Professional	26	$138.04	$272.49	$360.99
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $265.01 / $528.54 / $693.03	Professional	TC	$265.01	$528.54	$693.03
Health New England Facility/Professional Professional Modifier Low / Median / High Price $162.66 / $194.98 / $352.50	Professional		$162.66	$194.98	$352.50
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $822.80 / $1,034.56 / $1,034.56	Facility	26	$822.80	$1,034.56	$1,034.56
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $366.61 / $726.68 / $2,091.94	Professional		$366.61	$726.68	$2,091.94
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $112.02 / $164.18 / $711.82	Professional	26	$112.02	$164.18	$711.82
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $244.69 / $521.96 / $1,773.11	Professional	TC	$244.69	$521.96	$1,773.11
United Facility/Professional Professional Modifier Low / Median / High Price $365.59 / $551.94 / $1,084.53	Professional		$365.59	$551.94	$1,084.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $109.72 / $149.75 / $303.38	Professional	26	$109.72	$149.75	$303.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $244.69 / $391.50 / $771.31	Professional	TC	$244.69	$391.50	$771.31