Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.84 / $74.84 / $278.00	Facility	26	$74.84	$74.84	$278.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.31 / $324.61 / $557.21	Professional		$255.31	$324.61	$557.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.84 / $101.31 / $241.50	Professional	26	$74.84	$101.31	$241.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $180.46 / $228.53 / $383.48	Professional	TC	$180.46	$228.53	$383.48
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $114.58 / $240.97 / $517.75	Facility	26	$114.58	$240.97	$517.75
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $312.39 / $476.51 / $1,252.16	Professional		$312.39	$476.51	$1,252.16
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $87.86 / $132.79 / $342.21	Professional	26	$87.86	$132.79	$342.21
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $220.29 / $338.36 / $909.95	Professional	TC	$220.29	$338.36	$909.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $120.18 / $200.89 / $339.75	Professional	26	$120.18	$200.89	$339.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $415.94 / $685.56 / $1,175.11	Professional		$415.94	$685.56	$1,175.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $116.14 / $196.18 / $323.26	Professional	26	$116.14	$196.18	$323.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $285.88 / $492.86 / $851.86	Professional	TC	$285.88	$492.86	$851.86
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $133.93 / $367.13 / $656.40	Professional		$133.93	$367.13	$656.40
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $429.67 / $851.78 / $1,314.79	Professional		$429.67	$851.78	$1,314.79
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $126.98 / $233.64 / $323.67	Professional	26	$126.98	$233.64	$323.67
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $302.69 / $556.95 / $771.56	Professional	TC	$302.69	$556.95	$771.56
Health New England Facility/Professional Professional Modifier Low / Median / High Price $144.51 / $144.51 / $148.54	Professional		$144.51	$144.51	$148.54
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $240.70 / $240.70 / $517.75	Facility	26	$240.70	$240.70	$517.75
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $361.77 / $496.98 / $2,193.48	Professional		$361.77	$496.98	$2,193.48
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $106.41 / $142.75 / $640.52	Professional	26	$106.41	$142.75	$640.52
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $257.12 / $347.47 / $1,552.95	Professional	TC	$257.12	$347.47	$1,552.95
United Facility/Professional Professional Modifier Low / Median / High Price $353.41 / $460.61 / $901.06	Professional		$353.41	$460.61	$901.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $104.32 / $132.38 / $243.87	Professional	26	$104.32	$132.38	$243.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $248.62 / $338.36 / $676.45	Professional	TC	$248.62	$338.36	$676.45