Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $371.54 / $1,096.48	Professional		$295.12	$371.54	$1,096.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $295.12 / $812.83	Professional	26	$117.49	$295.12	$812.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $251.19 / $724.44	Professional	TC	$194.98	$251.19	$724.44
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $891.25 / $891.25 / $891.25	Facility	26	$891.25	$891.25	$891.25
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $630.96 / $2,754.23	Professional		$245.47	$630.96	$2,754.23
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $229.09 / $891.25	Professional	26	$104.71	$229.09	$891.25
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $489.78 / $1,862.09	Professional	TC	$194.98	$489.78	$1,862.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $162.18 / $275.42 / $371.54	Professional	26	$162.18	$275.42	$371.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $288.40 / $288.40	Professional	TC	$288.40	$288.40	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $309.03 / $851.14	Professional		$213.80	$309.03	$851.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $138.04 / $295.12	Professional	26	$74.13	$138.04	$295.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $218.78 / $562.34	Professional	TC	$138.04	$218.78	$562.34
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $436.52 / $794.33	Professional		$173.78	$436.52	$794.33
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $870.96 / $1,258.93	Professional		$478.63	$870.96	$1,258.93
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $162.18 / $281.84 / $407.38	Professional	26	$162.18	$281.84	$407.38
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $338.84 / $588.84 / $851.14	Professional	TC	$338.84	$588.84	$851.14
Health New England Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $263.03 / $380.19	Professional		$229.09	$263.03	$380.19
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $891.25 / $891.25 / $891.25	Facility	26	$891.25	$891.25	$891.25
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $630.96 / $2,754.23	Professional		$263.03	$630.96	$2,754.23
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $229.09 / $891.25	Professional	26	$104.71	$229.09	$891.25
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $501.19 / $1,862.09	Professional	TC	$194.98	$501.19	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $489.78 / $1,148.15	Professional		$234.42	$489.78	$1,148.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $165.96 / $380.19	Professional	26	$91.20	$165.96	$380.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $331.13 / $794.33	Professional	TC	$151.36	$331.13	$794.33