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 $274.10 / $349.55 / $516.77	Professional		$274.10	$349.55	$516.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.03 / $141.58 / $326.95	Professional	26	$110.03	$141.58	$326.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $164.07 / $207.96 / $338.02	Professional	TC	$164.07	$207.96	$338.02
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $169.76 / $358.23 / $767.93	Facility	26	$169.76	$358.23	$767.93
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $364.27 / $561.67 / $1,645.14	Professional		$364.27	$561.67	$1,645.14
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $130.62 / $196.74 / $506.94	Professional	26	$130.62	$196.74	$506.94
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $243.46 / $370.42 / $1,138.20	Professional	TC	$243.46	$370.42	$1,138.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $178.44 / $298.27 / $396.40	Professional	26	$178.44	$298.27	$396.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $458.77 / $732.40 / $1,490.14	Professional		$458.77	$732.40	$1,490.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $172.44 / $289.83 / $480.60	Professional	26	$172.44	$289.83	$480.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $266.99 / $506.80 / $977.79	Professional	TC	$266.99	$506.80	$977.79
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $198.86 / $466.56 / $826.57	Professional		$198.86	$466.56	$826.57
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $570.16 / $1,016.99 / $1,435.09	Professional		$570.16	$1,016.99	$1,435.09
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $188.83 / $348.77 / $481.33	Professional	26	$188.83	$348.77	$481.33
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $381.34 / $704.34 / $972.04	Professional	TC	$381.34	$704.34	$972.04
Health New England Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $360.00 / $360.00	Professional		$360.00	$360.00	$360.00
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $357.19 / $357.19 / $767.93	Facility	26	$357.19	$357.19	$767.93
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $409.94 / $575.96 / $2,872.34	Professional		$409.94	$575.96	$2,872.34
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $157.08 / $210.37 / $948.42	Professional	26	$157.08	$210.37	$948.42
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $261.76 / $371.56 / $1,923.92	Professional	TC	$261.76	$371.56	$1,923.92
United Facility/Professional Professional Modifier Low / Median / High Price $400.73 / $552.72 / $1,174.58	Professional		$400.73	$552.72	$1,174.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $153.55 / $201.44 / $407.27	Professional	26	$153.55	$201.44	$407.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $252.86 / $369.89 / $1,138.20	Professional	TC	$252.86	$369.89	$1,138.20