Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.54 / $60.55 / $112.76	Facility	26	$60.54	$60.55	$112.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.53 / $280.54 / $1,060.00	Professional		$215.53	$280.54	$1,060.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.55 / $95.60 / $314.00	Professional	26	$60.55	$95.60	$314.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $152.75 / $182.65 / $450.39	Professional	TC	$152.75	$182.65	$450.39
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $141.77 / $148.91 / $314.00	Facility	26	$141.77	$148.91	$314.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $233.91 / $457.52 / $1,442.20	Professional		$233.91	$457.52	$1,442.20
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $64.39 / $130.88 / $507.29	Professional	26	$64.39	$130.88	$507.29
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $172.15 / $359.50 / $1,055.58	Professional	TC	$172.15	$359.50	$1,055.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $297.06 / $353.80 / $409.24	Professional		$297.06	$353.80	$409.24
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $82.01 / $112.92 / $175.95	Professional	26	$82.01	$112.92	$175.95
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.28 / $232.72 / $252.52	Professional	TC	$190.28	$232.72	$252.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.72 / $75.72 / $75.72	Facility	26	$75.72	$75.72	$75.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.97 / $446.74 / $749.05	Professional		$253.97	$446.74	$749.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.47 / $116.02 / $189.98	Professional	26	$70.47	$116.02	$189.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $182.43 / $332.17 / $559.09	Professional	TC	$182.43	$332.17	$559.09
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $44.76 / $142.29 / $333.84	Professional		$44.76	$142.29	$333.84
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $264.19 / $523.73 / $702.22	Professional		$264.19	$523.73	$702.22
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $73.73 / $144.36 / $192.81	Professional	26	$73.73	$144.36	$192.81
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $190.46 / $372.92 / $498.07	Professional	TC	$190.46	$372.92	$498.07
Health New England Facility/Professional Professional Modifier Low / Median / High Price $94.32 / $183.05 / $353.54	Professional		$94.32	$183.05	$353.54
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $143.07 / $314.00 / $314.00	Facility	26	$143.07	$314.00	$314.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $253.09 / $485.06 / $1,442.20	Professional		$253.09	$485.06	$1,442.20
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $70.33 / $145.36 / $507.29	Professional	26	$70.33	$145.36	$507.29
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $179.47 / $400.86 / $1,055.58	Professional	TC	$179.47	$400.86	$1,055.58
United Facility/Professional Professional Modifier Low / Median / High Price $241.09 / $351.70 / $786.29	Professional		$241.09	$351.70	$786.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.31 / $93.22 / $199.07	Professional	26	$65.31	$93.22	$199.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $179.47 / $318.61 / $637.42	Professional	TC	$179.47	$318.61	$637.42