Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.91 / $132.88 / $301.02	Professional		$103.91	$132.88	$301.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.57 / $97.97 / $444.66	Professional	26	$53.57	$97.97	$444.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.69 / $72.23 / $292.26	Professional	TC	$56.69	$72.23	$292.26
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $905.83 / $905.83 / $905.83	Facility		$905.83	$905.83	$905.83
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $336.59 / $336.59 / $336.59	Facility	26	$336.59	$336.59	$336.59
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $105.70 / $239.18 / $1,961.76	Professional		$105.70	$239.18	$1,961.76
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $51.32 / $110.97 / $434.05	Professional	26	$51.32	$110.97	$434.05
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $59.47 / $166.92 / $557.54	Professional	TC	$59.47	$166.92	$557.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.88 / $72.88 / $72.88	Facility		$72.88	$72.88	$72.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.47 / $334.53 / $466.52	Professional		$165.47	$334.53	$466.52
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $92.81 / $130.27 / $199.13	Professional	26	$92.81	$130.27	$199.13
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $118.04 / $216.57 / $337.47	Professional	TC	$118.04	$216.57	$337.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.18 / $143.66 / $299.48	Professional		$82.18	$143.66	$299.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.52 / $60.80 / $125.95	Professional	26	$35.52	$60.80	$125.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.85 / $74.54 / $176.46	Professional	TC	$44.85	$74.54	$176.46
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $84.55 / $156.53 / $305.99	Professional		$84.55	$156.53	$305.99
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $210.53 / $396.51 / $536.64	Professional		$210.53	$396.51	$536.64
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $82.74 / $156.96 / $210.90	Professional	26	$82.74	$156.96	$210.90
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $127.80 / $241.54 / $325.76	Professional	TC	$127.80	$241.54	$325.76
Health New England Facility/Professional Professional Modifier Low / Median / High Price $108.39 / $174.82 / $409.19	Professional		$108.39	$174.82	$409.19
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $905.83 / $905.83 / $905.83	Facility		$905.83	$905.83	$905.83
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $336.59 / $336.59 / $336.59	Facility	26	$336.59	$336.59	$336.59
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $104.89 / $231.22 / $1,961.76	Professional		$104.89	$231.22	$1,961.76
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $51.32 / $107.16 / $434.05	Professional	26	$51.32	$107.16	$434.05
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $59.47 / $131.16 / $557.54	Professional	TC	$59.47	$131.16	$557.54
United Facility/Professional Professional Modifier Low / Median / High Price $98.53 / $165.16 / $370.89	Professional		$98.53	$165.16	$370.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.20 / $80.33 / $171.54	Professional	26	$48.20	$80.33	$171.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $49.58 / $88.62 / $235.15	Professional	TC	$49.58	$88.62	$235.15