Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.45 / $474.27 / $1,037.32	Professional		$384.45	$474.27	$1,037.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.69 / $44.27 / $168.00	Professional	26	$38.69	$44.27	$168.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $341.96 / $430.11 / $949.29	Professional	TC	$341.96	$430.11	$949.29
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $280.44 / $280.44 / $280.44	Facility	26	$280.44	$280.44	$280.44
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $417.04 / $825.66 / $3,946.60	Professional		$417.04	$825.66	$3,946.60
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $39.07 / $84.77 / $363.38	Professional	26	$39.07	$84.77	$363.38
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $377.97 / $787.99 / $3,586.83	Professional	TC	$377.97	$787.99	$3,586.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $668.46 / $1,156.24 / $1,566.31	Professional		$668.46	$1,156.24	$1,566.31
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $77.37 / $106.86 / $144.31	Professional	26	$77.37	$106.86	$144.31
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $640.11 / $1,049.72 / $1,422.00	Professional	TC	$640.11	$1,049.72	$1,422.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.39 / $574.13 / $1,047.78	Professional		$321.39	$574.13	$1,047.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.61 / $49.76 / $96.53	Professional	26	$29.61	$49.76	$96.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $291.79 / $524.38 / $951.24	Professional	TC	$291.79	$524.38	$951.24
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $70.47 / $682.35 / $1,101.81	Professional		$70.47	$682.35	$1,101.81
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $686.90 / $1,298.24 / $1,750.91	Professional		$686.90	$1,298.24	$1,750.91
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $69.22 / $130.83 / $176.44	Professional	26	$69.22	$130.83	$176.44
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $617.67 / $1,167.42 / $1,574.47	Professional	TC	$617.67	$1,167.42	$1,574.47
Health New England Facility/Professional Professional Modifier Low / Median / High Price $48.73 / $121.25 / $846.89	Professional		$48.73	$121.25	$846.89
Health New England Facility/Professional Professional Modifier 26 Low / Median / High Price $57.40 / $57.40 / $57.40	Professional	26	$57.40	$57.40	$57.40
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $280.44 / $280.44 / $280.44	Facility	26	$280.44	$280.44	$280.44
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $397.48 / $719.33 / $3,946.60	Professional		$397.48	$719.33	$3,946.60
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $38.04 / $66.61 / $363.38	Professional	26	$38.04	$66.61	$363.38
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $361.38 / $678.47 / $3,586.83	Professional	TC	$361.38	$678.47	$3,586.83
United Facility/Professional Professional Modifier Low / Median / High Price $397.00 / $686.90 / $1,436.57	Professional		$397.00	$686.90	$1,436.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.04 / $69.22 / $163.58	Professional	26	$38.04	$69.22	$163.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $358.96 / $593.09 / $1,302.00	Professional	TC	$358.96	$593.09	$1,302.00