Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $234.42 / $524.81	Professional		$162.18	$234.42	$524.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $47.86 / $213.80	Professional	26	$33.11	$47.86	$213.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $204.17 / $691.83	Professional	TC	$128.82	$204.17	$691.83
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $269.15 / $269.15 / $269.15	Facility	26	$269.15	$269.15	$269.15
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $407.38 / $2,089.30	Professional		$204.17	$407.38	$2,089.30
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $54.95 / $269.15	Professional	26	$30.90	$54.95	$269.15
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $363.08 / $1,819.70	Professional	TC	$165.96	$363.08	$1,819.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $79.43 / $104.71	Professional	26	$45.71	$79.43	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $257.04 / $691.83	Professional		$134.90	$257.04	$691.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $40.74 / $89.13	Professional	26	$20.89	$40.74	$89.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $234.42 / $588.84	Professional	TC	$134.90	$234.42	$588.84
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $323.59 / $524.81	Professional		$50.12	$323.59	$524.81
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $562.34 / $831.76	Professional		$323.59	$562.34	$831.76
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $83.18 / $120.23	Professional	26	$47.86	$83.18	$120.23
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $478.63 / $707.95	Professional	TC	$275.42	$478.63	$707.95
Health New England Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $75.86 / $100.00	Professional		$70.79	$75.86	$100.00
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $269.15 / $269.15 / $269.15	Facility	26	$269.15	$269.15	$269.15
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $407.38 / $2,089.30	Professional		$213.80	$407.38	$2,089.30
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $54.95 / $269.15	Professional	26	$31.62	$54.95	$269.15
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $363.08 / $1,819.70	Professional	TC	$173.78	$363.08	$1,819.70
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $380.19 / $831.76	Professional		$173.78	$380.19	$831.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $51.29 / $114.82	Professional	26	$30.20	$51.29	$114.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $363.08 / $707.95	Professional	TC	$138.04	$363.08	$707.95