Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.11 / $350.63 / $447.11	Professional		$303.11	$350.63	$447.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.19 / $37.99 / $51.48	Professional	26	$32.19	$37.99	$51.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $270.92 / $310.24 / $409.12	Professional	TC	$270.92	$310.24	$409.12
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $233.75 / $233.75 / $233.75	Facility	26	$233.75	$233.75	$233.75
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $335.43 / $630.55 / $2,779.34	Professional		$335.43	$630.55	$2,779.34
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $34.25 / $71.25 / $306.82	Professional	26	$34.25	$71.25	$306.82
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $301.18 / $595.05 / $2,481.83	Professional	TC	$301.18	$595.05	$2,481.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $419.66 / $536.13 / $536.13	Professional		$419.66	$536.13	$536.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.52 / $89.11 / $120.34	Professional	26	$64.52	$89.11	$120.34
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $383.17 / $484.44 / $484.44	Professional	TC	$383.17	$484.44	$484.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.15 / $402.83 / $911.73	Professional		$232.15	$402.83	$911.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.69 / $41.16 / $88.45	Professional	26	$24.69	$41.16	$88.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $208.02 / $361.66 / $813.66	Professional	TC	$208.02	$361.66	$813.66
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $58.76 / $494.52 / $785.46	Professional		$58.76	$494.52	$785.46
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $498.07 / $941.35 / $1,269.58	Professional		$498.07	$941.35	$1,269.58
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $57.75 / $109.15 / $147.19	Professional	26	$57.75	$109.15	$147.19
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $440.32 / $835.29 / $1,122.38	Professional	TC	$440.32	$835.29	$1,122.38
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $233.75 / $233.75 / $233.75	Facility	26	$233.75	$233.75	$233.75
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $318.45 / $559.80 / $2,779.34	Professional		$318.45	$559.80	$2,779.34
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $33.47 / $57.11 / $306.82	Professional	26	$33.47	$57.11	$306.82
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $285.44 / $502.70 / $2,481.83	Professional	TC	$285.44	$502.70	$2,481.83
United Facility/Professional Professional Modifier Low / Median / High Price $318.45 / $518.49 / $1,103.23	Professional		$318.45	$518.49	$1,103.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.01 / $55.02 / $117.49	Professional	26	$33.01	$55.02	$117.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $285.44 / $455.85 / $1,015.21	Professional	TC	$285.44	$455.85	$1,015.21