Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.16 / $56.16 / $104.46	Facility	26	$56.16	$56.16	$104.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.98 / $451.62 / $749.38	Professional		$380.98	$451.62	$749.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.33 / $64.81 / $162.96	Professional	26	$54.33	$64.81	$162.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $326.64 / $384.10 / $576.26	Professional	TC	$326.64	$384.10	$576.26
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $124.47 / $133.12 / $416.00	Facility	26	$124.47	$133.12	$416.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $422.61 / $927.10 / $3,905.69	Professional		$422.61	$927.10	$3,905.69
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $60.34 / $118.57 / $617.51	Professional	26	$60.34	$118.57	$617.51
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $384.78 / $818.36 / $3,683.35	Professional	TC	$384.78	$818.36	$3,683.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $591.76 / $591.76 / $591.76	Professional		$591.76	$591.76	$591.76
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.94 / $107.52 / $142.88	Professional	26	$81.94	$107.52	$142.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $518.12 / $858.85 / $1,395.88	Professional		$518.12	$858.85	$1,395.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.68 / $112.47 / $181.83	Professional	26	$65.68	$112.47	$181.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $452.14 / $736.69 / $1,214.05	Professional	TC	$452.14	$736.69	$1,214.05
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $41.78 / $304.97 / $717.57	Professional		$41.78	$304.97	$717.57
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $539.03 / $1,064.05 / $1,364.98	Professional		$539.03	$1,064.05	$1,364.98
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $68.81 / $130.53 / $173.19	Professional	26	$68.81	$130.53	$173.19
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $470.22 / $920.69 / $1,183.54	Professional	TC	$470.22	$920.69	$1,183.54
Health New England Facility/Professional Professional Modifier Low / Median / High Price $81.88 / $90.27 / $169.98	Professional		$81.88	$90.27	$169.98
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $133.12 / $133.12 / $416.00	Facility	26	$133.12	$133.12	$416.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $492.04 / $1,033.96 / $3,905.69	Professional		$492.04	$1,033.96	$3,905.69
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $66.42 / $136.77 / $617.51	Professional	26	$66.42	$136.77	$617.51
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $430.34 / $889.43 / $3,683.35	Professional	TC	$430.34	$889.43	$3,683.35
United Facility/Professional Professional Modifier Low / Median / High Price $447.31 / $817.10 / $1,255.24	Professional		$447.31	$817.10	$1,255.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.41 / $100.01 / $176.11	Professional	26	$62.41	$100.01	$176.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $389.28 / $621.84 / $1,165.45	Professional	TC	$389.28	$621.84	$1,165.45