Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.73 / $75.73 / $286.67	Facility	26	$75.73	$75.73	$286.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.16 / $441.05 / $1,101.63	Professional		$369.16	$441.05	$1,101.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.73 / $102.77 / $312.20	Professional	26	$75.73	$102.77	$312.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $268.61 / $338.28 / $560.37	Professional	TC	$268.61	$338.28	$560.37
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $117.60 / $247.37 / $529.44	Facility	26	$117.60	$247.37	$529.44
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $370.56 / $617.58 / $1,617.18	Professional		$370.56	$617.58	$1,617.18
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $82.35 / $136.41 / $351.27	Professional	26	$82.35	$136.41	$351.27
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $282.16 / $466.82 / $1,275.74	Professional	TC	$282.16	$466.82	$1,275.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $500.95 / $842.00 / $1,416.19	Professional		$500.95	$842.00	$1,416.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $122.88 / $205.43 / $272.98	Professional	26	$122.88	$205.43	$272.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.12 / $894.03 / $1,410.44	Professional		$484.12	$894.03	$1,410.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.75 / $199.54 / $331.86	Professional	26	$118.75	$199.54	$331.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $365.37 / $694.49 / $1,078.58	Professional	TC	$365.37	$694.49	$1,078.58
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $136.96 / $443.02 / $760.13	Professional		$136.96	$443.02	$760.13
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $494.80 / $913.90 / $1,261.25	Professional		$494.80	$913.90	$1,261.25
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $129.84 / $239.81 / $330.96	Professional	26	$129.84	$239.81	$330.96
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $364.95 / $674.06 / $930.26	Professional	TC	$364.95	$674.06	$930.26
Health New England Facility/Professional Professional Modifier Low / Median / High Price $148.30 / $216.93 / $325.10	Professional		$148.30	$216.93	$325.10
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $246.31 / $246.31 / $529.44	Facility	26	$246.31	$246.31	$529.44
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $480.34 / $662.52 / $2,670.75	Professional		$480.34	$662.52	$2,670.75
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $108.12 / $146.52 / $657.16	Professional	26	$108.12	$146.52	$657.16
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $364.29 / $502.08 / $2,013.59	Professional	TC	$364.29	$502.08	$2,013.59
United Facility/Professional Professional Modifier Low / Median / High Price $472.51 / $644.44 / $1,095.98	Professional		$472.51	$644.44	$1,095.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $108.28 / $142.36 / $251.32	Professional	26	$108.28	$142.36	$251.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $364.29 / $486.80 / $864.75	Professional	TC	$364.29	$486.80	$864.75