Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.38 / $55.38 / $65.75	Facility	26	$55.38	$55.38	$65.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.97 / $499.24 / $609.94	Professional		$416.97	$499.24	$609.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.83 / $72.83 / $238.70	Professional	26	$50.83	$72.83	$238.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $361.60 / $422.35 / $528.94	Professional	TC	$361.60	$422.35	$528.94
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $73.94 / $160.18 / $326.42	Facility	26	$73.94	$160.18	$326.42
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $354.40 / $663.82 / $2,064.04	Professional		$354.40	$663.82	$2,064.04
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $49.74 / $84.22 / $303.23	Professional	26	$49.74	$84.22	$303.23
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $304.66 / $542.40 / $1,891.85	Professional	TC	$304.66	$542.40	$1,891.85
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.78 / $127.37 / $182.02	Professional	26	$75.78	$127.37	$182.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $461.74 / $461.74 / $606.61	Professional	TC	$461.74	$461.74	$606.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $535.32 / $693.79 / $1,451.47	Professional		$535.32	$693.79	$1,451.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.83 / $100.24 / $200.51	Professional	26	$72.83	$100.24	$200.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $462.50 / $593.09 / $1,250.96	Professional	TC	$462.50	$593.09	$1,250.96
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $85.48 / $498.70 / $804.01	Professional		$85.48	$498.70	$804.01
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $522.24 / $1,010.28 / $2,161.50	Professional		$522.24	$1,010.28	$2,161.50
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $81.51 / $145.22 / $203.01	Professional	26	$81.51	$145.22	$203.01
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $440.73 / $785.25 / $1,097.68	Professional	TC	$440.73	$785.25	$1,097.68
Health New England Facility/Professional Professional Modifier Low / Median / High Price $93.81 / $102.64 / $208.99	Professional		$93.81	$102.64	$208.99
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $160.18 / $160.18 / $326.42	Facility	26	$160.18	$160.18	$326.42
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $510.34 / $722.68 / $2,964.79	Professional		$510.34	$722.68	$2,964.79
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $66.92 / $96.73 / $426.62	Professional	26	$66.92	$96.73	$426.62
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $442.19 / $619.98 / $2,538.10	Professional	TC	$442.19	$619.98	$2,538.10
United Facility/Professional Professional Modifier Low / Median / High Price $510.34 / $714.90 / $1,799.06	Professional		$510.34	$714.90	$1,799.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.22 / $94.92 / $223.93	Professional	26	$67.22	$94.92	$223.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $440.73 / $586.79 / $1,462.61	Professional	TC	$440.73	$586.79	$1,462.61