Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $162.50 / $162.51 / $611.29	Facility	26	$162.50	$162.51	$611.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.65 / $487.17 / $1,215.85	Professional		$392.65	$487.17	$1,215.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $162.51 / $234.22 / $670.60	Professional	26	$162.51	$234.22	$670.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $227.84 / $267.66 / $483.25	Professional	TC	$227.84	$267.66	$483.25
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $252.02 / $531.04 / $1,135.96	Facility	26	$252.02	$531.04	$1,135.96
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $414.72 / $680.51 / $2,895.04	Professional		$414.72	$680.51	$2,895.04
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $193.63 / $302.75 / $1,405.16	Professional	26	$193.63	$302.75	$1,405.16
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $219.91 / $366.27 / $1,489.88	Professional	TC	$219.91	$366.27	$1,489.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $579.75 / $969.23 / $1,287.91	Professional		$579.75	$969.23	$1,287.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $357.96 / $452.16 / $573.92	Professional	26	$357.96	$452.16	$573.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $560.27 / $979.56 / $1,546.65	Professional		$560.27	$979.56	$1,546.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $254.93 / $430.63 / $712.45	Professional	26	$254.93	$430.63	$712.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $305.33 / $543.07 / $834.20	Professional	TC	$305.33	$543.07	$834.20
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $286.20 / $409.44 / $778.79	Professional		$286.20	$409.44	$778.79
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $584.50 / $1,031.64 / $1,455.76	Professional		$584.50	$1,031.64	$1,455.76
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $278.94 / $523.01 / $711.02	Professional	26	$278.94	$523.01	$711.02
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $305.56 / $572.91 / $778.87	Professional	TC	$305.56	$572.91	$778.87
Health New England Facility/Professional Professional Modifier Low / Median / High Price $243.35 / $464.94 / $695.67	Professional		$243.35	$464.94	$695.67
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $528.44 / $528.44 / $1,135.96	Facility	26	$528.44	$528.44	$1,135.96
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $512.78 / $739.98 / $2,895.04	Professional		$512.78	$739.98	$2,895.04
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $233.23 / $334.65 / $1,405.16	Professional	26	$233.23	$334.65	$1,405.16
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $281.52 / $391.85 / $1,489.88	Professional	TC	$281.52	$391.85	$1,489.88
United Facility/Professional Professional Modifier Low / Median / High Price $506.42 / $680.51 / $1,195.77	Professional		$506.42	$680.51	$1,195.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $230.49 / $302.75 / $603.40	Professional	26	$230.49	$302.75	$603.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $277.70 / $377.76 / $715.15	Professional	TC	$277.70	$377.76	$715.15