Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $120.23 / $120.23 / $239.88	Facility	26	$120.23	$120.23	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $794.33 / $2,290.87	Professional		$575.44	$794.33	$2,290.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $223.87 / $575.44	Professional	26	$117.49	$223.87	$575.44
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $257.04 / $371.54 / $1,258.93	Professional	52	$257.04	$371.54	$1,258.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $467.74 / $616.60 / $1,548.82	Professional	TC	$467.74	$616.60	$1,548.82
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $134.90 / $295.12 / $776.25	Facility	26	$134.90	$295.12	$776.25
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,148.15 / $6,165.95	Professional		$575.44	$1,148.15	$6,165.95
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $218.78 / $1,071.52	Professional	26	$117.49	$218.78	$1,071.52
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $512.86 / $933.25 / $3,981.07	Professional	TC	$512.86	$933.25	$3,981.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,412.54 / $1,995.26	Professional		$812.83	$1,412.54	$1,995.26
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $138.04 / $234.42 / $316.23	Professional	26	$138.04	$234.42	$316.23
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $69.18 / $117.49 / $707.95	Professional	52	$69.18	$117.49	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,202.26 / $1,949.84	Professional		$724.44	$1,202.26	$1,949.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $138.04 / $223.87 / $354.81	Professional	26	$138.04	$223.87	$354.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $588.84 / $977.24 / $1,584.89	Professional	TC	$588.84	$977.24	$1,584.89
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $512.86 / $1,258.93	Professional		$100.00	$512.86	$1,258.93
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,318.26 / $2,041.74	Professional		$724.44	$1,318.26	$2,041.74
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $223.87 / $346.74	Professional	26	$125.89	$223.87	$346.74
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $602.56 / $1,047.13 / $1,621.81	Professional	TC	$602.56	$1,047.13	$1,621.81
Health New England Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $223.87 / $1,174.90	Professional		$144.54	$223.87	$1,174.90
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $134.90 / $295.12 / $776.25	Facility	26	$134.90	$295.12	$776.25
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,148.15 / $6,165.95	Professional		$575.44	$1,148.15	$6,165.95
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $218.78 / $1,071.52	Professional	26	$117.49	$218.78	$1,071.52
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $512.86 / $954.99 / $3,981.07	Professional	TC	$512.86	$954.99	$3,981.07
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,174.90 / $2,137.96	Professional		$691.83	$1,174.90	$2,137.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $131.83 / $218.78 / $389.05	Professional	26	$131.83	$218.78	$389.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $562.34 / $977.24 / $1,737.80	Professional	TC	$562.34	$977.24	$1,737.80