Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.96 / $58.97 / $223.51	Facility	26	$58.96	$58.97	$223.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $409.29 / $539.90 / $1,318.65	Professional		$409.29	$539.90	$1,318.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.97 / $87.61 / $228.50	Professional	26	$58.97	$87.61	$228.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $343.83 / $440.35 / $697.12	Professional	TC	$343.83	$440.35	$697.12
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $91.99 / $194.16 / $1,357.70	Facility	26	$91.99	$194.16	$1,357.70
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $358.46 / $626.01 / $4,499.00	Professional		$358.46	$626.01	$4,499.00
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $110.98 / $1,350.00	Professional	26	$70.79	$110.98	$1,350.00
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $296.89 / $581.77 / $3,149.00	Professional	TC	$296.89	$581.77	$3,149.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $551.89 / $907.86 / $1,226.02	Professional		$551.89	$907.86	$1,226.02
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $131.46 / $164.73 / $213.49	Professional	26	$131.46	$164.73	$213.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.33 / $1,012.95 / $1,555.96	Professional		$439.33	$1,012.95	$1,555.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $92.26 / $155.72 / $260.52	Professional	26	$92.26	$155.72	$260.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $352.19 / $843.35 / $1,295.44	Professional	TC	$352.19	$843.35	$1,295.44
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $107.09 / $515.67 / $833.81	Professional		$107.09	$515.67	$833.81
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $541.49 / $965.86 / $1,362.93	Professional		$541.49	$965.86	$1,362.93
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $101.58 / $187.62 / $258.93	Professional	26	$101.58	$187.62	$258.93
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $439.91 / $809.43 / $1,121.33	Professional	TC	$439.91	$809.43	$1,121.33
Health New England Facility/Professional Professional Modifier Low / Median / High Price $113.68 / $152.40 / $254.47	Professional		$113.68	$152.40	$254.47
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $192.44 / $1,357.70 / $1,357.70	Facility	26	$192.44	$1,357.70	$1,357.70
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $400.48 / $715.27 / $4,499.00	Professional		$400.48	$715.27	$4,499.00
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $78.84 / $122.38 / $1,350.00	Professional	26	$78.84	$122.38	$1,350.00
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $339.80 / $608.50 / $3,149.00	Professional	TC	$339.80	$608.50	$3,149.00
United Facility/Professional Professional Modifier Low / Median / High Price $397.00 / $609.77 / $1,303.16	Professional		$397.00	$609.77	$1,303.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $78.84 / $110.98 / $224.19	Professional	26	$78.84	$110.98	$224.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $339.80 / $591.52 / $1,129.41	Professional	TC	$339.80	$591.52	$1,129.41