Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.86 / $107.15 / $426.58	Facility	26	$75.86	$107.15	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $457.09 / $1,348.96	Professional		$338.84	$457.09	$1,348.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $147.91 / $416.87	Professional	26	$75.86	$147.91	$416.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $338.84 / $1,096.48	Professional	TC	$229.09	$338.84	$1,096.48
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $257.04 / $660.69	Facility	26	$117.49	$257.04	$660.69
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $549.54 / $1,412.54	Professional		$338.84	$549.54	$1,412.54
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $125.89 / $338.84	Professional	26	$83.18	$125.89	$338.84
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $426.58 / $1,071.52	Professional	TC	$257.04	$426.58	$1,071.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $851.14 / $1,318.26	Professional		$501.19	$851.14	$1,318.26
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $208.93 / $323.59	Professional	26	$123.03	$208.93	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $831.76 / $1,348.96	Professional		$478.63	$831.76	$1,348.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $194.98 / $309.03	Professional	26	$120.23	$194.98	$309.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $380.19 / $645.65 / $1,023.29	Professional	TC	$380.19	$645.65	$1,023.29
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $467.74 / $776.25	Professional		$144.54	$467.74	$776.25
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $588.84 / $1,071.52	Professional		$416.87	$588.84	$1,071.52
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $147.91 / $281.84	Professional	26	$107.15	$147.91	$281.84
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $309.03 / $436.52 / $812.83	Professional	TC	$309.03	$436.52	$812.83
Health New England Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $169.82 / $218.78	Professional		$147.91	$169.82	$218.78
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $257.04 / $660.69	Facility	26	$117.49	$257.04	$660.69
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $549.54 / $1,412.54	Professional		$338.84	$549.54	$1,412.54
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $128.82 / $346.74	Professional	26	$83.18	$128.82	$346.74
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $426.58 / $1,071.52	Professional	TC	$257.04	$426.58	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $645.65 / $1,258.93	Professional		$478.63	$645.65	$1,258.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $141.25 / $302.00	Professional	26	$107.15	$141.25	$302.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $363.08 / $501.19 / $977.24	Professional	TC	$363.08	$501.19	$977.24