Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $77.62 / $380.19	Facility	26	$77.62	$77.62	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $891.25 / $3,715.35	Professional		$645.65	$891.25	$3,715.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $109.65 / $380.19	Professional	26	$77.62	$109.65	$380.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $575.44 / $758.58 / $2,238.72	Professional	TC	$575.44	$758.58	$2,238.72
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $107.15 / $239.88 / $616.60	Facility	26	$107.15	$239.88	$616.60
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,148.15 / $3,388.44	Professional		$676.08	$1,148.15	$3,388.44
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $120.23 / $426.58	Professional	26	$70.79	$120.23	$426.58
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $602.56 / $1,023.29 / $3,630.78	Professional	TC	$602.56	$1,023.29	$3,630.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $151.36 / $186.21 / $269.15	Professional	26	$151.36	$186.21	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $2,818.38	Professional		$1,071.52	$1,445.44	$2,818.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $144.54 / $288.40	Professional	26	$104.71	$144.54	$288.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $977.24 / $1,288.25 / $2,511.89	Professional	TC	$977.24	$1,288.25	$2,511.89
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $1,023.29 / $1,621.81	Professional		$128.82	$1,023.29	$1,621.81
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,148.15 / $2,187.76	Professional		$812.83	$1,148.15	$2,187.76
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $117.49 / $245.47	Professional	26	$95.50	$117.49	$245.47
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $724.44 / $891.25 / $1,819.70	Professional	TC	$724.44	$891.25	$1,819.70
Health New England Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $147.91 / $151.36	Professional		$138.04	$147.91	$151.36
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $107.15 / $239.88 / $616.60	Facility	26	$107.15	$239.88	$616.60
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,148.15 / $3,388.44	Professional		$676.08	$1,148.15	$3,388.44
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $120.23 / $426.58	Professional	26	$70.79	$120.23	$426.58
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $602.56 / $1,023.29 / $3,630.78	Professional	TC	$602.56	$1,023.29	$3,630.78
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,445.44 / $3,162.28	Professional		$954.99	$1,445.44	$3,162.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $138.04 / $295.12	Professional	26	$95.50	$138.04	$295.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $851.14 / $1,202.26 / $2,344.23	Professional	TC	$851.14	$1,202.26	$2,344.23