Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $162.50 / $162.51 / $611.29	Facility	26	$162.50	$162.51	$611.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.97 / $568.25 / $1,771.38	Professional		$378.97	$568.25	$1,771.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $162.51 / $264.94 / $672.34	Professional	26	$162.51	$264.94	$672.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $216.46 / $343.24 / $585.45	Professional	TC	$216.46	$343.24	$585.45
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $251.64 / $531.04 / $1,325.34	Facility	26	$251.64	$531.04	$1,325.34
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $389.74 / $1,083.32 / $7,602.48	Professional		$389.74	$1,083.32	$7,602.48
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $194.45 / $302.75 / $1,699.00	Professional	26	$194.45	$302.75	$1,699.00
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $233.23 / $552.66 / $6,420.95	Professional	TC	$233.23	$552.66	$6,420.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $593.45 / $992.13 / $1,318.35	Professional		$593.45	$992.13	$1,318.35
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $360.86 / $452.16 / $586.01	Professional	26	$360.86	$452.16	$586.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $573.51 / $1,138.74 / $1,614.94	Professional		$573.51	$1,138.74	$1,614.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $254.93 / $432.39 / $712.45	Professional	26	$254.93	$432.39	$712.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $316.47 / $576.00 / $1,069.06	Professional	TC	$316.47	$576.00	$1,069.06
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $294.00 / $420.77 / $809.41	Professional		$294.00	$420.77	$809.41
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $597.61 / $1,179.68 / $1,930.40	Professional		$597.61	$1,179.68	$1,930.40
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $278.94 / $515.20 / $711.02	Professional	26	$278.94	$515.20	$711.02
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $318.67 / $588.58 / $812.29	Professional	TC	$318.67	$588.58	$812.29
Health New England Facility/Professional Professional Modifier Low / Median / High Price $317.45 / $470.02 / $695.67	Professional		$317.45	$470.02	$695.67
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $528.44 / $528.44 / $1,325.34	Facility	26	$528.44	$528.44	$1,325.34
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $568.13 / $1,305.57 / $7,602.48	Professional		$568.13	$1,305.57	$7,602.48
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $230.24 / $336.70 / $1,699.00	Professional	26	$230.24	$336.70	$1,699.00
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $308.37 / $652.78 / $6,420.95	Professional	TC	$308.37	$652.78	$6,420.95
United Facility/Professional Professional Modifier Low / Median / High Price $533.16 / $1,095.68 / $1,708.70	Professional		$533.16	$1,095.68	$1,708.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $225.07 / $302.75 / $603.40	Professional	26	$225.07	$302.75	$603.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $288.01 / $506.10 / $1,267.51	Professional	TC	$288.01	$506.10	$1,267.51