Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $302.00 / $426.58 / $1,698.24	Facility	26	$302.00	$426.58	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,511.89 / $10,232.93	Professional		$1,548.82	$2,511.89	$10,232.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $302.00 / $602.56 / $1,949.84	Professional	26	$302.00	$602.56	$1,949.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $1,122.02 / $1,778.28 / $6,760.83	Professional	TC	$1,122.02	$1,778.28	$6,760.83
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $467.74 / $1,047.13 / $2,630.27	Facility	26	$467.74	$1,047.13	$2,630.27
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,344.23 / $14,125.38	Professional		$1,445.44	$2,344.23	$14,125.38
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $331.13 / $524.81 / $2,951.21	Professional	26	$331.13	$524.81	$2,951.21
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $1,122.02 / $1,905.46 / $8,912.51	Professional	TC	$1,122.02	$1,905.46	$8,912.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,981.07 / $6,025.60	Professional		$2,290.87	$3,981.07	$6,025.60
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $489.78 / $812.83 / $1,122.02	Professional	26	$489.78	$812.83	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,235.94 / $5,754.40	Professional		$1,819.70	$3,235.94	$5,754.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $478.63 / $758.58 / $1,230.27	Professional	26	$478.63	$758.58	$1,230.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $1,445.44 / $2,884.03 / $4,570.88	Professional	TC	$1,445.44	$2,884.03	$4,570.88
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $2,344.23 / $3,801.89	Professional		$575.44	$2,344.23	$3,801.89
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,754.23 / $5,248.07	Professional		$2,041.74	$2,754.23	$5,248.07
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $436.52 / $588.84 / $1,122.02	Professional	26	$436.52	$588.84	$1,122.02
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $1,584.89 / $2,238.72 / $4,168.69	Professional	TC	$1,584.89	$2,238.72	$4,168.69
Health New England Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $758.58 / $870.96	Professional		$602.56	$758.58	$870.96
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $467.74 / $1,047.13 / $2,630.27	Facility	26	$467.74	$1,047.13	$2,630.27
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,344.23 / $14,125.38	Professional		$1,445.44	$2,344.23	$14,125.38
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $331.13 / $524.81 / $2,951.21	Professional	26	$331.13	$524.81	$2,951.21
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $1,122.02 / $1,905.46 / $8,912.51	Professional	TC	$1,122.02	$1,905.46	$8,912.51
Tufts Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,905.46 / $3,467.37	Professional		$1,659.59	$1,905.46	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,754.23 / $5,495.41	Professional		$1,862.09	$2,754.23	$5,495.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $407.38 / $562.34 / $1,202.26	Professional	26	$407.38	$562.34	$1,202.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $1,445.44 / $2,187.76 / $4,466.84	Professional	TC	$1,445.44	$2,187.76	$4,466.84