Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.74 / $337.88 / $764.81	Professional		$285.74	$337.88	$764.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $112.50 / $220.62 / $811.14	Professional	26	$112.50	$220.62	$811.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $172.40 / $212.43 / $544.17	Professional	TC	$172.40	$212.43	$544.17
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $698.35 / $698.35 / $698.35	Facility	26	$698.35	$698.35	$698.35
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $257.13 / $641.49 / $2,755.28	Professional		$257.13	$641.49	$2,755.28
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $105.79 / $228.99 / $895.79	Professional	26	$105.79	$228.99	$895.79
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $196.36 / $490.32 / $1,859.49	Professional	TC	$196.36	$490.32	$1,859.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.27 / $446.27 / $459.74	Professional		$446.27	$446.27	$459.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $194.03 / $265.98 / $359.19	Professional	26	$194.03	$265.98	$359.19
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $290.25 / $290.25 / $313.19	Professional	TC	$290.25	$290.25	$313.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.01 / $316.77 / $786.19	Professional		$213.01	$316.77	$786.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.70 / $126.65 / $261.11	Professional	26	$73.70	$126.65	$261.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $121.77 / $219.22 / $545.91	Professional	TC	$121.77	$219.22	$545.91
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $175.42 / $424.35 / $769.64	Professional		$175.42	$424.35	$769.64
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $525.92 / $994.01 / $1,340.60	Professional		$525.92	$994.01	$1,340.60
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $171.21 / $323.58 / $436.41	Professional	26	$171.21	$323.58	$436.41
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $354.71 / $670.40 / $904.16	Professional	TC	$354.71	$670.40	$904.16
Health New England Facility/Professional Professional Modifier Low / Median / High Price $215.54 / $254.36 / $696.26	Professional		$215.54	$254.36	$696.26
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $698.35 / $698.35 / $698.35	Facility	26	$698.35	$698.35	$698.35
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $257.13 / $624.02 / $2,755.28	Professional		$257.13	$624.02	$2,755.28
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $99.74 / $221.31 / $895.79	Professional	26	$99.74	$221.31	$895.79
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $186.26 / $412.50 / $1,859.49	Professional	TC	$186.26	$412.50	$1,859.49
United Facility/Professional Professional Modifier Low / Median / High Price $233.04 / $450.57 / $1,053.83	Professional		$233.04	$450.57	$1,053.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.86 / $158.08 / $343.57	Professional	26	$85.86	$158.08	$343.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $149.84 / $292.49 / $777.53	Professional	TC	$149.84	$292.49	$777.53