Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.36 / $56.36 / $210.12	Facility	26	$56.36	$56.36	$210.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.39 / $363.21 / $645.52	Professional		$305.39	$363.21	$645.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.36 / $75.68 / $212.80	Professional	26	$56.36	$75.68	$212.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $244.32 / $298.70 / $534.39	Professional	TC	$244.32	$298.70	$534.39
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $170.44 / $179.03 / $266.07	Facility	26	$170.44	$179.03	$266.07
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $322.14 / $553.80 / $1,641.77	Professional		$322.14	$553.80	$1,641.77
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $54.04 / $93.85 / $331.14	Professional	26	$54.04	$93.85	$331.14
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $268.10 / $459.74 / $1,366.82	Professional	TC	$268.10	$459.74	$1,366.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $82.71 / $142.34 / $198.67	Professional	26	$82.71	$142.34	$198.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.26 / $778.31 / $1,397.26	Professional		$512.26	$778.31	$1,397.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.25 / $123.84 / $218.98	Professional	26	$87.25	$123.84	$218.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $425.01 / $647.61 / $1,169.75	Professional	TC	$425.01	$647.61	$1,169.75
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $93.18 / $442.83 / $734.99	Professional		$93.18	$442.83	$734.99
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $478.00 / $868.86 / $1,203.13	Professional		$478.00	$868.86	$1,203.13
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $88.88 / $158.36 / $221.36	Professional	26	$88.88	$158.36	$221.36
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $389.12 / $693.30 / $969.14	Professional	TC	$389.12	$693.30	$969.14
Health New England Facility/Professional Professional Modifier Low / Median / High Price $105.19 / $111.36 / $226.41	Professional		$105.19	$111.36	$226.41
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $173.90 / $173.90 / $356.06	Facility	26	$173.90	$173.90	$356.06
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $393.27 / $619.85 / $2,692.02	Professional		$393.27	$619.85	$2,692.02
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $76.43 / $105.57 / $462.06	Professional	26	$76.43	$105.57	$462.06
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $282.42 / $545.20 / $2,230.02	Professional	TC	$282.42	$545.20	$2,230.02
United Facility/Professional Professional Modifier Low / Median / High Price $357.10 / $619.67 / $1,252.78	Professional		$357.10	$619.67	$1,252.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $76.31 / $105.57 / $271.39	Professional	26	$76.31	$105.57	$271.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $314.08 / $512.29 / $1,038.79	Professional	TC	$314.08	$512.29	$1,038.79