Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $110.03 / $110.03 / $414.12	Facility	26	$110.03	$110.03	$414.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.07 / $279.74 / $711.85	Professional		$219.07	$279.74	$711.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.03 / $149.27 / $453.60	Professional	26	$110.03	$149.27	$453.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $109.04 / $138.16 / $259.27	Professional	TC	$109.04	$138.16	$259.27
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $170.15 / $359.08 / $769.74	Facility	26	$170.15	$359.08	$769.74
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $254.13 / $393.81 / $1,017.71	Professional		$254.13	$393.81	$1,017.71
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $130.93 / $197.20 / $508.18	Professional	26	$130.93	$197.20	$508.18
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $122.48 / $193.45 / $521.63	Professional	TC	$122.48	$193.45	$521.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.25 / $592.24 / $786.97	Professional		$354.25	$592.24	$786.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $227.87 / $306.58 / $397.34	Professional	26	$227.87	$306.58	$397.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $342.35 / $567.36 / $949.12	Professional		$342.35	$567.36	$949.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $172.85 / $289.83 / $481.76	Professional	26	$172.85	$289.83	$481.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $169.50 / $284.14 / $467.36	Professional	TC	$169.50	$284.14	$467.36
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $181.02 / $244.61 / $472.10	Professional		$181.02	$244.61	$472.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $189.24 / $620.02 / $893.65	Professional		$189.24	$620.02	$893.65
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $223.30 / $381.13 / $494.88	Professional	26	$223.30	$381.13	$494.88
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $169.57 / $313.20 / $432.23	Professional	TC	$169.57	$313.20	$432.23
Health New England Facility/Professional Professional Modifier Low / Median / High Price $168.20 / $273.12 / $432.29	Professional		$168.20	$273.12	$432.29
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $357.82 / $357.82 / $769.74	Facility	26	$357.82	$357.82	$769.74
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $305.35 / $430.70 / $1,788.06	Professional		$305.35	$430.70	$1,788.06
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $157.08 / $210.91 / $948.42	Professional	26	$157.08	$210.91	$948.42
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $148.32 / $210.29 / $839.64	Professional	TC	$148.32	$210.29	$839.64
United Facility/Professional Professional Modifier Low / Median / High Price $300.77 / $402.46 / $693.16	Professional		$300.77	$402.46	$693.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $157.08 / $204.92 / $361.65	Professional	26	$157.08	$204.92	$361.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $148.32 / $203.32 / $483.34	Professional	TC	$148.32	$203.32	$483.34