Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $289.50 / $289.50 / $525.34	Facility	26	$289.50	$289.50	$525.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $970.54 / $1,322.69 / $2,721.65	Professional		$970.54	$1,322.69	$2,721.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $289.42 / $424.94 / $1,279.31	Professional	26	$289.42	$424.94	$1,279.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $682.87 / $944.54 / $1,940.24	Professional	TC	$682.87	$944.54	$1,940.24
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $624.25 / $692.85 / $2,118.00	Facility	26	$624.25	$692.85	$2,118.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $862.77 / $1,823.87 / $6,888.39	Professional		$862.77	$1,823.87	$6,888.39
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $259.62 / $574.44 / $1,791.90	Professional	26	$259.62	$574.44	$1,791.90
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $757.50 / $1,532.27 / $5,096.49	Professional	TC	$757.50	$1,532.27	$5,096.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $899.15 / $899.15 / $1,267.51	Professional	TC	$899.15	$899.15	$1,267.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,963.35 / $2,418.65 / $3,837.49	Professional		$1,963.35	$2,418.65	$3,837.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $523.79 / $605.39 / $960.52	Professional	26	$523.79	$605.39	$960.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $1,423.59 / $1,813.26 / $2,876.96	Professional	TC	$1,423.59	$1,813.26	$2,876.96
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $208.55 / $677.96 / $1,531.68	Professional		$208.55	$677.96	$1,531.68
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,219.38 / $2,438.76 / $3,962.98	Professional		$1,219.38	$2,438.76	$3,962.98
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $351.44 / $666.68 / $884.57	Professional	26	$351.44	$666.68	$884.57
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $867.94 / $1,646.48 / $2,184.60	Professional	TC	$867.94	$1,646.48	$2,184.60
Health New England Facility/Professional Professional Modifier Low / Median / High Price $461.54 / $763.00 / $1,544.00	Professional		$461.54	$763.00	$1,544.00
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $2,118.00 / $2,118.00 / $2,579.04	Facility	26	$2,118.00	$2,118.00	$2,579.04
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,406.89 / $2,227.80 / $6,888.39	Professional		$1,406.89	$2,227.80	$6,888.39
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $374.59 / $614.32 / $1,791.90	Professional	26	$374.59	$614.32	$1,791.90
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $1,042.00 / $1,639.92 / $5,096.49	Professional	TC	$1,042.00	$1,639.92	$5,096.49
United Facility/Professional Professional Modifier Low / Median / High Price $1,341.34 / $1,691.90 / $3,621.52	Professional		$1,341.34	$1,691.90	$3,621.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $351.44 / $553.33 / $1,132.11	Professional	26	$351.44	$553.33	$1,132.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $938.74 / $1,240.07 / $2,811.02	Professional	TC	$938.74	$1,240.07	$2,811.02