Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.83 / $204.70 / $500.04	Professional		$162.83	$204.70	$500.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.20 / $38.82 / $100.08	Professional	26	$29.20	$38.82	$100.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $129.68 / $165.75 / $437.87	Professional	TC	$129.68	$165.75	$437.87
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $199.50 / $199.50 / $199.50	Facility	26	$199.50	$199.50	$199.50
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $204.52 / $421.36 / $2,077.04	Professional		$204.52	$421.36	$2,077.04
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $31.64 / $60.06 / $267.88	Professional	26	$31.64	$60.06	$267.88
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $167.44 / $387.38 / $1,809.15	Professional	TC	$167.44	$387.38	$1,809.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.99 / $75.95 / $117.97	Professional	26	$54.99	$75.95	$117.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.05 / $259.22 / $539.11	Professional		$136.05	$259.22	$539.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.86 / $37.72 / $76.72	Professional	26	$21.86	$37.72	$76.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $116.35 / $230.10 / $469.88	Professional	TC	$116.35	$230.10	$469.88
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $50.09 / $320.45 / $516.11	Professional		$50.09	$320.45	$516.11
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $334.64 / $632.47 / $853.00	Professional		$334.64	$632.47	$853.00
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $49.56 / $93.67 / $126.33	Professional	26	$49.56	$93.67	$126.33
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $285.08 / $538.79 / $726.67	Professional	TC	$285.08	$538.79	$726.67
Health New England Facility/Professional Professional Modifier Low / Median / High Price $70.84 / $96.25 / $300.08	Professional		$70.84	$96.25	$300.08
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $199.50 / $199.50 / $199.50	Facility	26	$199.50	$199.50	$199.50
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $181.96 / $409.58 / $2,077.04	Professional		$181.96	$409.58	$2,077.04
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $52.75 / $267.88	Professional	26	$30.90	$52.75	$267.88
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $156.97 / $359.68 / $1,809.15	Professional	TC	$156.97	$359.68	$1,809.15
United Facility/Professional Professional Modifier Low / Median / High Price $175.35 / $369.10 / $874.64	Professional		$175.35	$369.10	$874.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.94 / $49.56 / $103.13	Professional	26	$29.94	$49.56	$103.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $136.72 / $321.37 / $723.53	Professional	TC	$136.72	$321.37	$723.53