Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $302.10 / $302.39 / $1,139.95	Facility	26	$302.10	$302.39	$1,139.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,542.03 / $2,114.63 / $5,606.73	Professional		$1,542.03	$2,114.63	$5,606.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $302.10 / $419.46 / $1,170.25	Professional	26	$302.10	$419.46	$1,170.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $1,239.94 / $1,726.05 / $2,778.71	Professional	TC	$1,239.94	$1,726.05	$2,778.71
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $469.06 / $989.91 / $2,118.79	Facility	26	$469.06	$989.91	$2,118.79
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,448.73 / $2,589.17 / $13,988.24	Professional		$1,448.73	$2,589.17	$13,988.24
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $361.10 / $563.63 / $2,958.87	Professional	26	$361.10	$563.63	$2,958.87
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $1,267.51 / $2,164.46 / $9,015.64	Professional	TC	$1,267.51	$2,164.46	$9,015.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,308.96 / $3,860.12 / $5,129.35	Professional		$2,308.96	$3,860.12	$5,129.35
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $673.30 / $843.65 / $1,257.61	Professional	26	$673.30	$843.65	$1,257.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,038.40 / $4,017.91 / $6,279.22	Professional		$2,038.40	$4,017.91	$6,279.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $472.51 / $793.90 / $1,328.10	Professional	26	$472.51	$793.90	$1,328.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $1,479.83 / $3,168.09 / $4,951.12	Professional	TC	$1,479.83	$3,168.09	$4,951.12
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $548.50 / $2,088.57 / $3,496.70	Professional		$548.50	$2,088.57	$3,496.70
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,276.56 / $4,056.15 / $5,730.10	Professional		$2,276.56	$4,056.15	$5,730.10
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $520.60 / $961.55 / $1,327.01	Professional	26	$520.60	$961.55	$1,327.01
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $1,755.96 / $3,243.26 / $4,475.93	Professional	TC	$1,755.96	$3,243.26	$4,475.93
Health New England Facility/Professional Professional Modifier Low / Median / High Price $453.08 / $774.50 / $1,294.58	Professional		$453.08	$774.50	$1,294.58
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $985.21 / $985.21 / $2,118.79	Facility	26	$985.21	$985.21	$2,118.79
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,700.53 / $2,947.10 / $13,988.24	Professional		$1,700.53	$2,947.10	$13,988.24
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $403.88 / $623.85 / $2,958.87	Professional	26	$403.88	$623.85	$2,958.87
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $1,456.91 / $2,426.38 / $9,015.64	Professional	TC	$1,456.91	$2,426.38	$9,015.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,646.81 / $2,343.53 / $5,003.42	Professional		$1,646.81	$2,343.53	$5,003.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $394.81 / $546.48 / $1,123.82	Professional	26	$394.81	$546.48	$1,123.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $1,405.24 / $2,164.46 / $4,592.01	Professional	TC	$1,405.24	$2,164.46	$4,592.01