Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $154.88 / $616.60	Facility	26	$109.65	$154.88	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $1,122.02	Professional		$194.98	$309.03	$1,122.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $251.19 / $588.84	Professional	26	$109.65	$251.19	$588.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $141.25 / $398.11	Professional	TC	$93.33	$141.25	$398.11
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $169.82 / $380.19 / $954.99	Facility	26	$169.82	$380.19	$954.99
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $354.81 / $977.24	Professional		$234.42	$354.81	$977.24
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $181.97 / $489.78	Professional	26	$117.49	$181.97	$489.78
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $173.78 / $478.63	Professional	TC	$112.20	$173.78	$478.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $602.56 / $933.25	Professional		$354.81	$602.56	$933.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $177.83 / $302.00 / $407.38	Professional	26	$177.83	$302.00	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $549.54 / $870.96	Professional		$338.84	$549.54	$870.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $177.83 / $281.84 / $446.68	Professional	26	$177.83	$281.84	$446.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $263.03 / $426.58	Professional	TC	$169.82	$263.03	$426.58
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $257.04 / $512.86	Professional		$190.55	$257.04	$512.86
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $426.58 / $794.33	Professional		$302.00	$426.58	$794.33
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $158.49 / $213.80 / $407.38	Professional	26	$158.49	$213.80	$407.38
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $194.98 / $371.54	Professional	TC	$144.54	$194.98	$371.54
Health New England Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $363.08	Professional		$213.80	$281.84	$363.08
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $169.82 / $380.19 / $954.99	Facility	26	$169.82	$380.19	$954.99
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $363.08 / $977.24	Professional		$234.42	$363.08	$977.24
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $186.21 / $501.19	Professional	26	$117.49	$186.21	$501.19
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $173.78 / $489.78	Professional	TC	$112.20	$173.78	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $398.11 / $870.96	Professional		$302.00	$398.11	$870.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $158.49 / $204.17 / $436.52	Professional	26	$158.49	$204.17	$436.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $199.53 / $416.87	Professional	TC	$147.91	$199.53	$416.87