Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.28 / $88.28 / $328.03	Facility	26	$88.28	$88.28	$328.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.20 / $414.14 / $679.20	Professional		$284.20	$414.14	$679.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.28 / $121.46 / $343.00	Professional	26	$88.28	$121.46	$343.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $170.48 / $309.76 / $399.58	Professional	TC	$170.48	$309.76	$399.58
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $261.33 / $815.92 / $1,024.72	Facility	26	$261.33	$815.92	$1,024.72
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $419.94 / $769.54 / $4,801.00	Professional		$419.94	$769.54	$4,801.00
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $108.15 / $169.26 / $1,632.94	Professional	26	$108.15	$169.26	$1,632.94
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $322.57 / $644.64 / $3,601.00	Professional	TC	$322.57	$644.64	$3,601.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $151.55 / $212.71 / $282.69	Professional	26	$151.55	$212.71	$282.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.44 / $804.20 / $1,372.59	Professional		$489.44	$804.20	$1,372.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $111.75 / $163.35 / $341.61	Professional	26	$111.75	$163.35	$341.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $362.08 / $624.94 / $1,053.22	Professional	TC	$362.08	$624.94	$1,053.22
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $143.13 / $455.84 / $810.68	Professional		$143.13	$455.84	$810.68
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $512.41 / $1,011.50 / $1,340.00	Professional		$512.41	$1,011.50	$1,340.00
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $136.81 / $272.85 / $357.77	Professional	26	$136.81	$272.85	$357.77
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $375.60 / $756.46 / $982.23	Professional	TC	$375.60	$756.46	$982.23
Health New England Facility/Professional Professional Modifier Low / Median / High Price $161.68 / $193.28 / $318.43	Professional		$161.68	$193.28	$318.43
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $815.92 / $1,024.72 / $1,024.72	Facility	26	$815.92	$1,024.72	$1,024.72
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $450.76 / $832.55 / $4,801.00	Professional		$450.76	$832.55	$4,801.00
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $112.59 / $179.09 / $1,632.94	Professional	26	$112.59	$179.09	$1,632.94
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $341.56 / $659.02 / $3,601.00	Professional	TC	$341.56	$659.02	$3,601.00
United Facility/Professional Professional Modifier Low / Median / High Price $446.58 / $676.14 / $1,149.29	Professional		$446.58	$676.14	$1,149.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $110.52 / $156.06 / $357.77	Professional	26	$110.52	$156.06	$357.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $329.86 / $496.52 / $943.62	Professional	TC	$329.86	$496.52	$943.62