Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.58 / $49.58 / $184.42	Facility	26	$49.58	$49.58	$184.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.34 / $346.53 / $1,031.80	Professional		$239.34	$346.53	$1,031.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.58 / $64.81 / $186.90	Professional	26	$49.58	$64.81	$186.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $136.90 / $277.08 / $339.83	Professional	TC	$136.90	$277.08	$339.83
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $70.72 / $151.49 / $311.41	Facility	26	$70.72	$151.49	$311.41
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $249.39 / $493.78 / $1,531.18	Professional		$249.39	$493.78	$1,531.18
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $47.18 / $92.22 / $290.69	Professional	26	$47.18	$92.22	$290.69
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $202.21 / $394.62 / $1,281.35	Professional	TC	$202.21	$394.62	$1,281.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.01 / $31.08 / $40.11	Professional		$23.01	$31.08	$40.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $92.05 / $124.34 / $160.50	Professional	26	$92.05	$124.34	$160.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $300.54 / $410.84 / $478.50	Professional	TC	$300.54	$410.84	$478.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.12 / $600.23 / $1,039.60	Professional		$387.12	$600.23	$1,039.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.20 / $108.81 / $192.22	Professional	26	$76.20	$108.81	$192.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $309.81 / $491.41 / $851.14	Professional	TC	$309.81	$491.41	$851.14
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $81.33 / $345.20 / $571.17	Professional		$81.33	$345.20	$571.17
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $376.01 / $726.93 / $2,161.50	Professional		$376.01	$726.93	$2,161.50
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $77.41 / $137.91 / $192.80	Professional	26	$77.41	$137.91	$192.80
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $298.60 / $532.02 / $743.69	Professional	TC	$298.60	$532.02	$743.69
Health New England Facility/Professional Professional Modifier Low / Median / High Price $99.04 / $144.82 / $481.50	Professional		$99.04	$144.82	$481.50
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $151.49 / $151.49 / $311.41	Facility	26	$151.49	$151.49	$311.41
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $404.72 / $622.00 / $2,079.76	Professional		$404.72	$622.00	$2,079.76
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $75.43 / $109.71 / $405.29	Professional	26	$75.43	$109.71	$405.29
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $305.32 / $453.59 / $1,674.47	Professional	TC	$305.32	$453.59	$1,674.47
United Facility/Professional Professional Modifier Low / Median / High Price $376.01 / $545.37 / $1,047.18	Professional		$376.01	$545.37	$1,047.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $73.77 / $100.09 / $186.50	Professional	26	$73.77	$100.09	$186.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $305.32 / $414.41 / $871.79	Professional	TC	$305.32	$414.41	$871.79