Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.49 / $157.33 / $188.10	Facility	26	$107.49	$157.33	$188.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.96 / $494.18 / $885.38	Professional		$327.96	$494.18	$885.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $105.25 / $157.33 / $281.08	Professional	26	$105.25	$157.33	$281.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $222.71 / $335.00 / $609.54	Professional	TC	$222.71	$335.00	$609.54
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $255.32 / $796.48 / $999.76	Facility	26	$255.32	$796.48	$999.76
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $407.78 / $794.58 / $2,337.81	Professional		$407.78	$794.58	$2,337.81
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $80.95 / $152.06 / $687.65	Professional	26	$80.95	$152.06	$687.65
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $292.16 / $553.08 / $1,650.16	Professional	TC	$292.16	$553.08	$1,650.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.14 / $111.64 / $959.60	Professional		$49.14	$111.64	$959.60
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $139.33 / $204.64 / $276.35	Professional	26	$139.33	$204.64	$276.35
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $414.43 / $416.72 / $1,278.06	Professional	TC	$414.43	$416.72	$1,278.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $423.67 / $615.65 / $1,181.55	Professional		$423.67	$615.65	$1,181.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $111.90 / $162.16 / $330.56	Professional	26	$111.90	$162.16	$330.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $292.16 / $424.83 / $850.99	Professional	TC	$292.16	$424.83	$850.99
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $139.74 / $359.67 / $652.35	Professional		$139.74	$359.67	$652.35
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $426.39 / $858.75 / $1,115.05	Professional		$426.39	$858.75	$1,115.05
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $133.53 / $266.31 / $349.19	Professional	26	$133.53	$266.31	$349.19
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $292.86 / $584.08 / $765.86	Professional	TC	$292.86	$584.08	$765.86
Health New England Facility/Professional Professional Modifier Low / Median / High Price $153.04 / $228.42 / $819.68	Professional		$153.04	$228.42	$819.68
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $796.48 / $999.76 / $999.76	Facility	26	$796.48	$999.76	$999.76
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $405.48 / $883.41 / $2,337.81	Professional		$405.48	$883.41	$2,337.81
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $81.61 / $152.06 / $687.65	Professional	26	$81.61	$152.06	$687.65
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $286.19 / $584.32 / $1,650.16	Professional	TC	$286.19	$584.32	$1,650.16
Tufts Facility/Professional Professional Modifier Low / Median / High Price $370.79 / $441.43 / $538.00	Professional		$370.79	$441.43	$538.00
United Facility/Professional Professional Modifier Low / Median / High Price $403.84 / $646.14 / $1,401.60	Professional		$403.84	$646.14	$1,401.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.16 / $141.18 / $270.41	Professional	26	$77.16	$141.18	$270.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $286.19 / $459.92 / $1,172.45	Professional	TC	$286.19	$459.92	$1,172.45