Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $119.81 / $119.81 / $255.50	Facility	26	$119.81	$119.81	$255.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $589.29 / $777.87 / $1,400.26	Professional		$589.29	$777.87	$1,400.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $116.66 / $138.75 / $517.84	Professional	26	$116.66	$138.75	$517.84
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $292.14 / $342.47 / $480.85	Professional	52	$292.14	$342.47	$480.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $476.14 / $651.33 / $993.64	Professional	TC	$476.14	$651.33	$993.64
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $267.95 / $286.83 / $753.90	Facility	26	$267.95	$286.83	$753.90
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $648.89 / $1,252.68 / $6,200.00	Professional		$648.89	$1,252.68	$6,200.00
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $128.94 / $252.30 / $1,081.48	Professional	26	$128.94	$252.30	$1,081.48
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $554.35 / $1,122.98 / $3,991.74	Professional	TC	$554.35	$1,122.98	$3,991.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.37 / $126.83 / $1,470.91	Professional		$87.37	$126.83	$1,470.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $174.75 / $231.28 / $301.02	Professional	26	$174.75	$231.28	$301.02
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $488.04 / $671.94 / $958.04	Professional	52	$488.04	$671.94	$958.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $774.54 / $1,316.51 / $2,118.04	Professional		$774.54	$1,316.51	$2,118.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $141.28 / $238.96 / $391.56	Professional	26	$141.28	$238.96	$391.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $635.24 / $1,071.89 / $1,726.48	Professional	TC	$635.24	$1,071.89	$1,726.48
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $89.92 / $444.57 / $1,053.83	Professional		$89.92	$444.57	$1,053.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $806.91 / $1,599.62 / $2,061.17	Professional		$806.91	$1,599.62	$2,061.17
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $148.28 / $281.29 / $373.22	Professional	26	$148.28	$281.29	$373.22
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $658.64 / $1,289.61 / $1,657.80	Professional	TC	$658.64	$1,289.61	$1,657.80
Health New England Facility/Professional Professional Modifier Low / Median / High Price $184.75 / $216.27 / $345.29	Professional		$184.75	$216.27	$345.29
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $286.83 / $286.83 / $753.90	Facility	26	$286.83	$286.83	$753.90
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $757.03 / $1,457.48 / $6,200.00	Professional		$757.03	$1,457.48	$6,200.00
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $140.91 / $287.35 / $1,081.48	Professional	26	$140.91	$287.35	$1,081.48
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $618.00 / $1,298.08 / $3,991.74	Professional	TC	$618.00	$1,298.08	$3,991.74
United Facility/Professional Professional Modifier Low / Median / High Price $713.78 / $1,138.48 / $1,995.14	Professional		$713.78	$1,138.48	$1,995.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $132.99 / $208.82 / $350.84	Professional	26	$132.99	$208.82	$350.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $570.54 / $927.20 / $1,649.21	Professional	TC	$570.54	$927.20	$1,649.21