Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.40 / $38.40 / $142.52	Facility	26	$38.40	$38.40	$142.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.66 / $351.78 / $417.41	Professional		$282.66	$351.78	$417.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.40 / $54.01 / $167.98	Professional	26	$38.40	$54.01	$167.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $244.25 / $300.33 / $357.28	Professional	TC	$244.25	$300.33	$357.28
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $55.25 / $118.60 / $242.96	Facility	26	$55.25	$118.60	$242.96
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $281.66 / $481.16 / $2,348.14	Professional		$281.66	$481.16	$2,348.14
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $36.86 / $63.41 / $379.76	Professional	26	$36.86	$63.41	$379.76
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $244.80 / $423.29 / $2,034.68	Professional	TC	$244.80	$423.29	$2,034.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.86 / $97.12 / $125.36	Professional	26	$62.86	$97.12	$125.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $363.82 / $489.87 / $490.09	Professional	TC	$363.82	$489.87	$490.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $404.98 / $658.04 / $1,179.73	Professional		$404.98	$658.04	$1,179.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.52 / $83.98 / $150.07	Professional	26	$59.52	$83.98	$150.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $357.18 / $557.64 / $1,034.28	Professional	TC	$357.18	$557.64	$1,034.28
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $63.57 / $400.77 / $639.66	Professional		$63.57	$400.77	$639.66
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $415.33 / $787.88 / $1,088.69	Professional		$415.33	$787.88	$1,088.69
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $60.62 / $108.01 / $150.97	Professional	26	$60.62	$108.01	$150.97
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $354.71 / $631.99 / $883.44	Professional	TC	$354.71	$631.99	$883.44
Health New England Facility/Professional Professional Modifier Low / Median / High Price $70.12 / $109.46 / $407.15	Professional		$70.12	$109.46	$407.15
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $118.60 / $242.96 / $242.96	Facility	26	$118.60	$242.96	$242.96
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $330.40 / $548.24 / $2,348.14	Professional		$330.40	$548.24	$2,348.14
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $50.18 / $72.91 / $379.76	Professional	26	$50.18	$72.91	$379.76
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $270.04 / $496.19 / $2,034.68	Professional	TC	$270.04	$496.19	$2,034.68
United Facility/Professional Professional Modifier Low / Median / High Price $330.40 / $489.24 / $1,333.94	Professional		$330.40	$489.24	$1,333.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.97 / $69.25 / $163.37	Professional	26	$49.97	$69.25	$163.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $305.98 / $481.09 / $1,252.14	Professional	TC	$305.98	$481.09	$1,252.14