Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $54.95 / $263.03	Facility	26	$54.95	$54.95	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $489.78 / $2,041.74	Professional		$363.08	$489.78	$2,041.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $93.33 / $269.15	Professional	26	$53.70	$93.33	$269.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $398.11 / $1,071.52	Professional	TC	$288.40	$398.11	$1,071.52
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $74.13 / $165.96 / $426.58	Facility	26	$74.13	$165.96	$426.58
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $602.56 / $1,819.70	Professional		$354.81	$602.56	$1,819.70
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $83.18 / $302.00	Professional	26	$50.12	$83.18	$302.00
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $524.81 / $1,819.70	Professional	TC	$302.00	$524.81	$1,819.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,023.29 / $1,479.11	Professional		$794.33	$1,023.29	$1,479.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $128.82 / $186.21	Professional	26	$107.15	$128.82	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $758.58 / $1,479.11	Professional		$575.44	$758.58	$1,479.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $100.00 / $199.53	Professional	26	$72.44	$100.00	$199.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $489.78 / $660.69 / $1,258.93	Professional	TC	$489.78	$660.69	$1,258.93
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $537.03 / $831.76	Professional		$89.13	$537.03	$831.76
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $602.56 / $1,258.93	Professional		$436.52	$602.56	$1,258.93
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $83.18 / $169.82	Professional	26	$67.61	$83.18	$169.82
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $363.08 / $446.68 / $933.25	Professional	TC	$363.08	$446.68	$933.25
Health New England Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $102.33 / $549.54	Professional		$95.50	$102.33	$549.54
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $74.13 / $165.96 / $426.58	Facility	26	$74.13	$165.96	$426.58
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $602.56 / $1,819.70	Professional		$354.81	$602.56	$1,819.70
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $83.18 / $302.00	Professional	26	$50.12	$83.18	$302.00
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $524.81 / $1,819.70	Professional	TC	$302.00	$524.81	$1,819.70
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $776.25 / $1,819.70	Professional		$512.86	$776.25	$1,819.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $95.50 / $204.17	Professional	26	$67.61	$95.50	$204.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $426.58 / $616.60 / $1,202.26	Professional	TC	$426.58	$616.60	$1,202.26