Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.78 / $58.78 / $109.33	Facility	26	$58.78	$58.78	$109.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $372.93 / $450.32 / $667.49	Professional		$372.93	$450.32	$667.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.40 / $65.44 / $85.39	Professional	26	$53.40	$65.44	$85.39
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $179.45 / $222.69 / $307.38	Professional	52	$179.45	$222.69	$307.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $316.45 / $383.03 / $582.10	Professional	TC	$316.45	$383.03	$582.10
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $128.71 / $141.82 / $495.00	Facility	26	$128.71	$141.82	$495.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $413.45 / $801.46 / $2,986.11	Professional		$413.45	$801.46	$2,986.11
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $62.10 / $120.34 / $873.43	Professional	26	$62.10	$120.34	$873.43
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $371.99 / $742.97 / $2,558.09	Professional	TC	$371.99	$742.97	$2,558.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $584.21 / $584.21 / $584.21	Professional		$584.21	$584.21	$584.21
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.00 / $106.59 / $154.31	Professional	26	$66.00	$106.59	$154.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $494.80 / $834.12 / $1,296.25	Professional		$494.80	$834.12	$1,296.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.56 / $116.18 / $188.25	Professional	26	$66.56	$116.18	$188.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $421.47 / $684.11 / $1,128.86	Professional	TC	$421.47	$684.11	$1,128.86
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $42.98 / $287.67 / $676.90	Professional		$42.98	$287.67	$676.90
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $508.72 / $1,004.21 / $1,291.13	Professional		$508.72	$1,004.21	$1,291.13
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $70.86 / $134.41 / $178.35	Professional	26	$70.86	$134.41	$178.35
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $437.86 / $830.62 / $1,102.08	Professional	TC	$437.86	$830.62	$1,102.08
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $141.82 / $141.82 / $495.00	Facility	26	$141.82	$141.82	$495.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $482.63 / $844.52 / $2,986.11	Professional		$482.63	$844.52	$2,986.11
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $67.86 / $137.33 / $873.43	Professional	26	$67.86	$137.33	$873.43
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $417.87 / $844.21 / $2,558.09	Professional	TC	$417.87	$844.21	$2,558.09
United Facility/Professional Professional Modifier Low / Median / High Price $447.53 / $672.96 / $1,558.93	Professional		$447.53	$672.96	$1,558.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.79 / $97.58 / $185.31	Professional	26	$65.79	$97.58	$185.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $386.42 / $583.39 / $1,145.05	Professional	TC	$386.42	$583.39	$1,145.05