Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.68 / $210.48 / $650.00	Professional		$168.68	$210.48	$650.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.02 / $59.58 / $242.58	Professional	26	$48.02	$59.58	$242.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $120.66 / $154.22 / $480.72	Professional	TC	$120.66	$154.22	$480.72
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $309.61 / $309.61 / $309.61	Facility	26	$309.61	$309.61	$309.61
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $249.88 / $553.28 / $2,575.76	Professional		$249.88	$553.28	$2,575.76
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $45.67 / $91.22 / $393.91	Professional	26	$45.67	$91.22	$393.91
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $207.02 / $474.27 / $2,181.85	Professional	TC	$207.02	$474.27	$2,181.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $485.78 / $796.58 / $1,056.91	Professional		$485.78	$796.58	$1,056.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $85.29 / $117.80 / $182.98	Professional	26	$85.29	$117.80	$182.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $493.28 / $681.31 / $920.08	Professional	TC	$493.28	$681.31	$920.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.36 / $322.41 / $721.91	Professional		$180.36	$322.41	$721.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.64 / $54.62 / $111.13	Professional	26	$32.64	$54.62	$111.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $151.82 / $230.48 / $615.49	Professional	TC	$151.82	$230.48	$615.49
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $77.70 / $451.85 / $734.09	Professional		$77.70	$451.85	$734.09
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $476.36 / $900.32 / $1,214.24	Professional		$476.36	$900.32	$1,214.24
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $76.59 / $144.77 / $195.25	Professional	26	$76.59	$144.77	$195.25
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $399.77 / $755.57 / $1,019.01	Professional	TC	$399.77	$755.57	$1,019.01
Health New England Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $254.34	Professional		$150.00	$150.00	$254.34
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $309.61 / $309.61 / $309.61	Facility	26	$309.61	$309.61	$309.61
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $230.65 / $482.51 / $2,575.76	Professional		$230.65	$482.51	$2,575.76
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $44.80 / $76.14 / $393.91	Professional	26	$44.80	$76.14	$393.91
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $164.88 / $409.88 / $2,181.85	Professional	TC	$164.88	$409.88	$2,181.85
United Facility/Professional Professional Modifier Low / Median / High Price $183.33 / $452.96 / $1,199.00	Professional		$183.33	$452.96	$1,199.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.78 / $72.63 / $151.37	Professional	26	$42.78	$72.63	$151.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $127.23 / $378.72 / $884.78	Professional	TC	$127.23	$378.72	$884.78