Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.59 / $220.14 / $441.37	Professional		$156.59	$220.14	$441.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.42 / $105.80 / $497.55	Professional	26	$86.42	$105.80	$497.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.41 / $120.38 / $203.58	Professional	TC	$67.41	$120.38	$203.58
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $581.40 / $581.40 / $581.40	Facility	26	$581.40	$581.40	$581.40
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $188.73 / $365.55 / $1,548.81	Professional		$188.73	$365.55	$1,548.81
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $108.80 / $226.32 / $836.46	Professional	26	$108.80	$226.32	$836.46
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $89.85 / $208.88 / $806.89	Professional	TC	$89.85	$208.88	$806.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.01 / $468.23 / $632.33	Professional		$339.01	$468.23	$632.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $161.29 / $224.68 / $298.58	Professional	26	$161.29	$224.68	$298.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.37 / $242.00 / $450.76	Professional		$127.37	$242.00	$450.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.40 / $122.55 / $239.00	Professional	26	$63.40	$122.55	$239.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.52 / $108.62 / $227.68	Professional	TC	$54.52	$108.62	$227.68
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $139.32 / $205.44 / $391.23	Professional		$139.32	$205.44	$391.23
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $290.00 / $546.19 / $739.21	Professional		$290.00	$546.19	$739.21
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $144.59 / $272.32 / $366.97	Professional	26	$144.59	$272.32	$366.97
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $145.41 / $274.82 / $370.65	Professional	TC	$145.41	$274.82	$370.65
Health New England Facility/Professional Professional Modifier Low / Median / High Price $556.23 / $556.23 / $556.23	Professional		$556.23	$556.23	$556.23
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $581.40 / $581.40 / $581.40	Facility	26	$581.40	$581.40	$581.40
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $200.90 / $353.62 / $1,548.81	Professional		$200.90	$353.62	$1,548.81
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $103.00 / $200.84 / $836.46	Professional	26	$103.00	$200.84	$836.46
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $89.85 / $186.26 / $806.89	Professional	TC	$89.85	$186.26	$806.89
United Facility/Professional Professional Modifier Low / Median / High Price $172.28 / $270.24 / $606.59	Professional		$172.28	$270.24	$606.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $86.33 / $143.88 / $320.27	Professional	26	$86.33	$143.88	$320.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $75.81 / $126.36 / $309.13	Professional	TC	$75.81	$126.36	$309.13