Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.95 / $53.95 / $100.79	Facility	26	$53.95	$53.95	$100.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.93 / $306.55 / $1,098.00	Professional		$246.93	$306.55	$1,098.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.95 / $112.58 / $361.65	Professional	26	$53.95	$112.58	$361.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.34 / $204.22 / $734.14	Professional	TC	$162.34	$204.22	$734.14
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $121.13 / $134.44 / $377.88	Facility	26	$121.13	$134.44	$377.88
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $282.58 / $559.71 / $2,426.79	Professional		$282.58	$559.71	$2,426.79
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $57.66 / $117.79 / $521.02	Professional	26	$57.66	$117.79	$521.02
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $223.98 / $478.56 / $1,905.76	Professional	TC	$223.98	$478.56	$1,905.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $343.05 / $532.79 / $786.75	Professional		$343.05	$532.79	$786.75
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $73.31 / $102.90 / $136.76	Professional	26	$73.31	$102.90	$136.76
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $246.34 / $394.65 / $516.08	Professional	TC	$246.34	$394.65	$516.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.55 / $97.55 / $97.55	Facility	26	$97.55	$97.55	$97.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.70 / $544.32 / $861.05	Professional		$292.70	$544.32	$861.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.10 / $109.60 / $186.27	Professional	26	$59.10	$109.60	$186.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $229.31 / $430.94 / $675.24	Professional	TC	$229.31	$430.94	$675.24
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $40.01 / $174.82 / $411.31	Professional		$40.01	$174.82	$411.31
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $319.89 / $606.85 / $815.43	Professional		$319.89	$606.85	$815.43
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $66.36 / $129.93 / $173.54	Professional	26	$66.36	$129.93	$173.54
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $253.54 / $496.43 / $663.03	Professional	TC	$253.54	$496.43	$663.03
Health New England Facility/Professional Professional Modifier Low / Median / High Price $87.04 / $137.00 / $432.65	Professional		$87.04	$137.00	$432.65
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $127.27 / $377.88 / $377.88	Facility	26	$127.27	$377.88	$377.88
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $329.24 / $590.79 / $2,426.79	Professional		$329.24	$590.79	$2,426.79
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $69.31 / $135.50 / $521.02	Professional	26	$69.31	$135.50	$521.02
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $265.69 / $507.50 / $1,905.76	Professional	TC	$265.69	$507.50	$1,905.76
Tufts Facility/Professional Professional Modifier Low / Median / High Price $231.13 / $294.45 / $398.00	Professional		$231.13	$294.45	$398.00
United Facility/Professional Professional Modifier Low / Median / High Price $298.47 / $465.05 / $892.88	Professional		$298.47	$465.05	$892.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.01 / $110.54 / $209.15	Professional	26	$63.01	$110.54	$209.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $226.29 / $378.24 / $897.08	Professional	TC	$226.29	$378.24	$897.08