Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $75.86 / $302.00	Facility	26	$57.54	$75.86	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $489.78 / $2,137.96	Professional		$323.59	$489.78	$2,137.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $85.11 / $263.03	Professional	26	$58.88	$85.11	$263.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $407.38 / $1,659.59	Professional	TC	$269.15	$407.38	$1,659.59
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $186.21 / $478.63	Facility	26	$83.18	$186.21	$478.63
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $676.08 / $2,089.30	Professional		$346.74	$676.08	$2,089.30
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $104.71 / $346.74	Professional	26	$56.23	$104.71	$346.74
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $562.34 / $1,819.70	Professional	TC	$288.40	$562.34	$1,819.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $1,479.11	Professional		$870.96	$1,071.52	$1,479.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $144.54 / $208.93	Professional	26	$85.11	$144.54	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $831.76 / $1,445.44	Professional		$549.54	$831.76	$1,445.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $128.82 / $229.09	Professional	26	$91.20	$128.82	$229.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $457.09 / $707.95 / $1,230.27	Professional	TC	$457.09	$707.95	$1,230.27
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $537.03 / $851.14	Professional		$100.00	$537.03	$851.14
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $676.08 / $1,348.96	Professional		$436.52	$676.08	$1,348.96
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $93.33 / $194.98	Professional	26	$75.86	$93.33	$194.98
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $363.08 / $467.74 / $933.25	Professional	TC	$363.08	$467.74	$933.25
Health New England Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $114.82 / $204.17	Professional		$69.18	$114.82	$204.17
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $186.21 / $478.63	Facility	26	$83.18	$186.21	$478.63
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $676.08 / $2,089.30	Professional		$346.74	$676.08	$2,089.30
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $104.71 / $346.74	Professional	26	$56.23	$104.71	$346.74
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $549.54 / $1,819.70	Professional	TC	$288.40	$549.54	$1,819.70
Tufts Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $512.86 / $870.96	Professional		$380.19	$512.86	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $891.25 / $1,778.28	Professional		$512.86	$891.25	$1,778.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $128.82 / $234.42	Professional	26	$89.13	$128.82	$234.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $426.58 / $645.65 / $1,230.27	Professional	TC	$426.58	$645.65	$1,230.27