Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.46 / $58.46 / $216.57	Facility	26	$58.46	$58.46	$216.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.64 / $486.05 / $1,441.30	Professional		$391.64	$486.05	$1,441.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.46 / $81.90 / $221.90	Professional	26	$58.46	$81.90	$221.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $276.10 / $403.15 / $897.00	Professional	TC	$276.10	$403.15	$897.00
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $83.45 / $178.45 / $367.41	Facility	26	$83.45	$178.45	$367.41
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $363.86 / $691.97 / $2,163.19	Professional		$363.86	$691.97	$2,163.19
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $55.87 / $108.82 / $343.13	Professional	26	$55.87	$108.82	$343.13
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $290.67 / $575.75 / $1,837.95	Professional	TC	$290.67	$575.75	$1,837.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.77 / $73.37 / $94.70	Professional		$50.77	$73.37	$94.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $108.79 / $146.72 / $189.41	Professional	26	$108.79	$146.72	$189.41
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $513.54 / $842.12 / $1,137.27	Professional	TC	$513.54	$842.12	$1,137.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $545.11 / $838.72 / $1,452.69	Professional		$545.11	$838.72	$1,452.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.93 / $128.77 / $226.89	Professional	26	$89.93	$128.77	$226.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $453.39 / $709.95 / $1,229.66	Professional	TC	$453.39	$709.95	$1,229.66
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $95.94 / $485.07 / $796.37	Professional		$95.94	$485.07	$796.37
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $517.73 / $1,006.41 / $2,161.50	Professional		$517.73	$1,006.41	$2,161.50
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $91.34 / $162.74 / $227.49	Professional	26	$91.34	$162.74	$227.49
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $426.39 / $759.70 / $1,061.97	Professional	TC	$426.39	$759.70	$1,061.97
Health New England Facility/Professional Professional Modifier Low / Median / High Price $105.66 / $156.66 / $672.81	Professional		$105.66	$156.66	$672.81
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $178.45 / $178.45 / $367.41	Facility	26	$178.45	$178.45	$367.41
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $567.28 / $864.15 / $2,898.56	Professional		$567.28	$864.15	$2,898.56
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $88.93 / $129.35 / $479.37	Professional	26	$88.93	$129.35	$479.37
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $474.84 / $659.18 / $2,419.25	Professional	TC	$474.84	$659.18	$2,419.25
Tufts Facility/Professional Professional Modifier Low / Median / High Price $401.78 / $490.27 / $884.62	Professional		$401.78	$490.27	$884.62
United Facility/Professional Professional Modifier Low / Median / High Price $518.88 / $738.73 / $1,463.78	Professional		$518.88	$738.73	$1,463.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $86.99 / $124.08 / $281.22	Professional	26	$86.99	$124.08	$281.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $426.39 / $614.65 / $1,258.01	Professional	TC	$426.39	$614.65	$1,258.01