Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.84 / $32.84 / $122.55	Facility	26	$32.84	$32.84	$122.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.18 / $443.97 / $718.78	Professional		$336.18	$443.97	$718.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.63 / $42.21 / $123.20	Professional	26	$32.63	$42.21	$123.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $303.33 / $403.07 / $654.91	Professional	TC	$303.33	$403.07	$654.91
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $98.22 / $103.17 / $153.09	Facility	26	$98.22	$103.17	$153.09
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $339.86 / $620.40 / $2,018.64	Professional		$339.86	$620.40	$2,018.64
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $31.14 / $52.79 / $190.34	Professional	26	$31.14	$52.79	$190.34
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $292.54 / $510.77 / $1,828.11	Professional	TC	$292.54	$510.77	$1,828.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.82 / $82.11 / $114.60	Professional	26	$56.82	$82.11	$114.60
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $434.80 / $475.19 / $586.16	Professional	TC	$434.80	$475.19	$586.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.04 / $779.75 / $1,350.55	Professional		$528.04	$779.75	$1,350.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.32 / $71.52 / $125.99	Professional	26	$50.32	$71.52	$125.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $476.64 / $708.23 / $1,226.68	Professional	TC	$476.64	$708.23	$1,226.68
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $53.66 / $482.54 / $737.63	Professional		$53.66	$482.54	$737.63
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $478.41 / $852.38 / $1,204.16	Professional		$478.41	$852.38	$1,204.16
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $51.20 / $91.22 / $127.52	Professional	26	$51.20	$91.22	$127.52
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $427.21 / $761.16 / $1,064.01	Professional	TC	$427.21	$761.16	$1,064.01
Health New England Facility/Professional Professional Modifier Low / Median / High Price $58.75 / $64.15 / $130.62	Professional		$58.75	$64.15	$130.62
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $99.49 / $99.49 / $205.20	Facility	26	$99.49	$99.49	$205.20
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $483.66 / $661.15 / $2,679.53	Professional		$483.66	$661.15	$2,679.53
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $40.92 / $60.89 / $266.22	Professional	26	$40.92	$60.89	$266.22
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $445.56 / $587.38 / $2,413.31	Professional	TC	$445.56	$587.38	$2,413.31
United Facility/Professional Professional Modifier Low / Median / High Price $478.41 / $646.52 / $1,525.23	Professional		$478.41	$646.52	$1,525.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.92 / $59.14 / $139.51	Professional	26	$40.92	$59.14	$139.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $431.45 / $587.38 / $1,385.72	Professional	TC	$431.45	$587.38	$1,385.72