Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $288.40 / $288.40 / $562.34	Facility	26	$288.40	$288.40	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,202.26 / $3,235.94	Professional		$977.24	$1,202.26	$3,235.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $281.84 / $407.38 / $1,412.54	Professional	26	$281.84	$407.38	$1,412.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $724.44 / $851.14 / $1,949.84	Professional	TC	$724.44	$851.14	$1,949.84
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $630.96 / $691.83 / $2,570.40	Facility	26	$630.96	$691.83	$2,570.40
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,621.81 / $4,570.88	Professional		$812.83	$1,621.81	$4,570.88
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $208.93 / $426.58 / $1,174.90	Professional	26	$208.93	$426.58	$1,174.90
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $602.56 / $1,202.26 / $3,467.37	Professional	TC	$602.56	$1,202.26	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,290.87 / $3,801.89	Professional		$1,380.38	$2,290.87	$3,801.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $389.05 / $602.56 / $954.99	Professional	26	$389.05	$602.56	$954.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $977.24 / $1,737.80 / $2,884.03	Professional	TC	$977.24	$1,737.80	$2,884.03
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $691.83 / $1,584.89	Professional		$213.80	$691.83	$1,584.89
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,862.09 / $3,630.78	Professional		$1,047.13	$1,862.09	$3,630.78
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $295.12 / $416.87 / $776.25	Professional	26	$295.12	$416.87	$776.25
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $741.31 / $1,122.02 / $1,995.26	Professional	TC	$741.31	$1,122.02	$1,995.26
Health New England Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $1,096.48	Professional		$616.60	$616.60	$1,096.48
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $630.96 / $691.83 / $2,570.40	Facility	26	$630.96	$691.83	$2,570.40
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,621.81 / $4,570.88	Professional		$812.83	$1,621.81	$4,570.88
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $208.93 / $426.58 / $1,174.90	Professional	26	$208.93	$426.58	$1,174.90
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $602.56 / $1,202.26 / $3,467.37	Professional	TC	$602.56	$1,202.26	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,905.46 / $4,265.80	Professional		$1,258.93	$1,905.46	$4,265.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $346.74 / $549.54 / $954.99	Professional	26	$346.74	$549.54	$954.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $912.01 / $1,288.25 / $2,630.27	Professional	TC	$912.01	$1,288.25	$2,630.27