Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.41 / $43.41 / $161.11	Facility	26	$43.41	$43.41	$161.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.82 / $356.69 / $414.08	Professional		$296.82	$356.69	$414.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.41 / $54.77 / $84.25	Professional	26	$43.41	$54.77	$84.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $253.41 / $301.08 / $351.10	Professional	TC	$253.41	$301.08	$351.10
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $130.26 / $136.83 / $203.44	Facility	26	$130.26	$136.83	$203.44
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $271.44 / $495.81 / $1,613.24	Professional		$271.44	$495.81	$1,613.24
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $41.30 / $70.15 / $253.19	Professional	26	$41.30	$70.15	$253.19
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $217.21 / $379.99 / $1,360.05	Professional	TC	$217.21	$379.99	$1,360.05
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.94 / $108.32 / $151.18	Professional	26	$62.94	$108.32	$151.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $322.82 / $328.93 / $436.09	Professional	TC	$322.82	$328.93	$436.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.96 / $619.53 / $1,073.04	Professional		$422.96	$619.53	$1,073.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.39 / $94.36 / $167.41	Professional	26	$66.39	$94.36	$167.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $355.14 / $525.16 / $909.61	Professional	TC	$355.14	$525.16	$909.61
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $70.84 / $362.20 / $593.50	Professional		$70.84	$362.20	$593.50
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $385.84 / $702.23 / $961.49	Professional		$385.84	$702.23	$961.49
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $67.58 / $120.41 / $168.31	Professional	26	$67.58	$120.41	$168.31
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $318.26 / $567.04 / $792.66	Professional	TC	$318.26	$567.04	$792.66
Health New England Facility/Professional Professional Modifier Low / Median / High Price $87.35 / $87.35 / $87.35	Professional		$87.35	$87.35	$87.35
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $131.71 / $131.71 / $270.80	Facility	26	$131.71	$131.71	$270.80
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $384.84 / $526.87 / $2,141.04	Professional		$384.84	$526.87	$2,141.04
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $54.73 / $80.33 / $351.55	Professional	26	$54.73	$80.33	$351.55
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $333.88 / $437.66 / $1,789.49	Professional	TC	$333.88	$437.66	$1,789.49
United Facility/Professional Professional Modifier Low / Median / High Price $384.84 / $513.16 / $1,009.01	Professional		$384.84	$513.16	$1,009.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.99 / $71.90 / $176.73	Professional	26	$55.99	$71.90	$176.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $318.44 / $435.85 / $1,028.23	Professional	TC	$318.44	$435.85	$1,028.23