Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.10 / $114.83 / $300.00	Professional		$92.10	$114.83	$300.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.65 / $59.30 / $331.80	Professional	26	$29.65	$59.30	$331.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $62.45 / $75.78 / $224.82	Professional	TC	$62.45	$75.78	$224.82
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $928.91 / $928.91 / $928.91	Facility		$928.91	$928.91	$928.91
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $213.67 / $213.67 / $213.67	Facility	26	$213.67	$213.67	$213.67
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $116.92 / $241.12 / $1,081.50	Professional		$116.92	$241.12	$1,081.50
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $28.49 / $55.17 / $235.79	Professional	26	$28.49	$55.17	$235.79
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $86.41 / $193.34 / $845.71	Professional	TC	$86.41	$193.34	$845.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $391.99 / $391.99 / $391.99	Facility		$391.99	$391.99	$391.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.11 / $352.76 / $477.87	Professional		$215.11	$352.76	$477.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.61 / $70.87 / $96.01	Professional	26	$41.61	$70.87	$96.01
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $162.43 / $273.82 / $373.98	Professional	TC	$162.43	$273.82	$373.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.87 / $143.16 / $319.67	Professional		$79.87	$143.16	$319.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.70 / $33.14 / $68.61	Professional	26	$19.70	$33.14	$68.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $67.70 / $113.73 / $255.44	Professional	TC	$67.70	$113.73	$255.44
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $46.90 / $193.79 / $318.95	Professional		$46.90	$193.79	$318.95
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $211.76 / $398.83 / $539.78	Professional		$211.76	$398.83	$539.78
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $45.88 / $86.41 / $116.44	Professional	26	$45.88	$86.41	$116.44
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $165.89 / $327.47 / $422.85	Professional	TC	$165.89	$327.47	$422.85
Health New England Facility/Professional Facility Modifier Low / Median / High Price $116.90 / $116.90 / $116.90	Facility		$116.90	$116.90	$116.90
Health New England Facility/Professional Professional Modifier Low / Median / High Price $58.41 / $112.50 / $591.91	Professional		$58.41	$112.50	$591.91
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $928.91 / $928.91 / $928.91	Facility		$928.91	$928.91	$928.91
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $213.67 / $213.67 / $213.67	Facility	26	$213.67	$213.67	$213.67
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $109.20 / $204.56 / $1,081.50	Professional		$109.20	$204.56	$1,081.50
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $27.57 / $47.45 / $235.79	Professional	26	$27.57	$47.45	$235.79
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $85.39 / $161.10 / $845.71	Professional	TC	$85.39	$161.10	$845.71
United Facility/Professional Professional Modifier Low / Median / High Price $109.20 / $197.55 / $436.83	Professional		$109.20	$197.55	$436.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.35 / $43.46 / $102.17	Professional	26	$26.35	$43.46	$102.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.86 / $143.96 / $344.02	Professional	TC	$64.86	$143.96	$344.02