Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $115.40 / $115.41 / $238.75	Facility	26	$115.40	$115.41	$238.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $555.87 / $720.28 / $1,371.43	Professional		$555.87	$720.28	$1,371.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $112.70 / $138.83 / $524.60	Professional	26	$112.70	$138.83	$524.60
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $277.07 / $320.37 / $443.28	Professional	52	$277.07	$320.37	$443.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $451.82 / $599.41 / $960.19	Professional	TC	$451.82	$599.41	$960.19
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $258.26 / $275.57 / $701.13	Facility	26	$258.26	$275.57	$701.13
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $621.10 / $1,207.89 / $6,200.00	Professional		$621.10	$1,207.89	$6,200.00
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $124.01 / $242.08 / $2,600.00	Professional	26	$124.01	$242.08	$2,600.00
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $529.66 / $1,073.08 / $7,000.00	Professional	TC	$529.66	$1,073.08	$7,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $547.76 / $812.53 / $1,625.04	Professional		$547.76	$812.53	$1,625.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $169.14 / $223.14 / $310.39	Professional	26	$169.14	$223.14	$310.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $739.57 / $1,261.01 / $2,024.75	Professional		$739.57	$1,261.01	$2,024.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $135.56 / $228.40 / $377.35	Professional	26	$135.56	$228.40	$377.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $603.04 / $1,022.87 / $1,647.40	Professional	TC	$603.04	$1,022.87	$1,647.40
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $86.29 / $424.48 / $1,006.31	Professional		$86.29	$424.48	$1,006.31
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $770.46 / $1,527.36 / $1,971.65	Professional		$770.46	$1,527.36	$1,971.65
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $142.13 / $269.62 / $357.74	Professional	26	$142.13	$269.62	$357.74
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $628.33 / $1,191.94 / $1,581.51	Professional	TC	$628.33	$1,191.94	$1,581.51
Health New England Facility/Professional Professional Modifier Low / Median / High Price $181.83 / $259.52 / $932.45	Professional		$181.83	$259.52	$932.45
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $275.57 / $275.57 / $701.13	Facility	26	$275.57	$275.57	$701.13
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $724.47 / $1,395.07 / $6,200.00	Professional		$724.47	$1,395.07	$6,200.00
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $135.91 / $272.68 / $2,600.00	Professional	26	$135.91	$272.68	$2,600.00
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $590.00 / $1,220.42 / $7,000.00	Professional	TC	$590.00	$1,220.42	$7,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $681.26 / $1,124.10 / $2,334.58	Professional		$681.26	$1,124.10	$2,334.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $128.41 / $200.92 / $431.75	Professional	26	$128.41	$200.92	$431.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $585.95 / $840.93 / $1,989.69	Professional	TC	$585.95	$840.93	$1,989.69