Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.34 / $88.34 / $88.34	Facility	26	$88.34	$88.34	$88.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.55 / $432.29 / $809.54	Professional		$335.55	$432.29	$809.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.27 / $91.61 / $286.12	Professional	26	$79.27	$91.61	$286.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $243.50 / $336.82 / $623.53	Professional	TC	$243.50	$336.82	$623.53
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $187.28 / $204.66 / $417.76	Facility	26	$187.28	$204.66	$417.76
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $338.88 / $780.48 / $2,747.80	Professional		$338.88	$780.48	$2,747.80
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $86.00 / $165.77 / $774.69	Professional	26	$86.00	$165.77	$774.69
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $276.14 / $661.30 / $2,208.88	Professional	TC	$276.14	$661.30	$2,208.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $613.13 / $911.94 / $1,231.53	Professional		$613.13	$911.94	$1,231.53
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $115.52 / $162.13 / $215.46	Professional	26	$115.52	$162.13	$215.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.33 / $828.15 / $1,419.75	Professional		$385.33	$828.15	$1,419.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $92.82 / $164.48 / $287.50	Professional	26	$92.82	$164.48	$287.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $242.97 / $663.44 / $1,154.08	Professional	TC	$242.97	$663.44	$1,154.08
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $62.59 / $298.39 / $691.18	Professional		$62.59	$298.39	$691.18
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $544.36 / $1,027.26 / $1,355.78	Professional		$544.36	$1,027.26	$1,355.78
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $102.81 / $195.03 / $258.77	Professional	26	$102.81	$195.03	$258.77
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $441.55 / $837.62 / $1,111.38	Professional	TC	$441.55	$837.62	$1,111.38
Health New England Facility/Professional Professional Modifier Low / Median / High Price $175.07 / $208.26 / $257.77	Professional		$175.07	$208.26	$257.77
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $194.95 / $194.95 / $417.76	Facility	26	$194.95	$194.95	$417.76
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $362.89 / $809.48 / $2,747.80	Professional		$362.89	$809.48	$2,747.80
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $95.13 / $176.84 / $774.69	Professional	26	$95.13	$176.84	$774.69
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $285.55 / $733.92 / $2,208.88	Professional	TC	$285.55	$733.92	$2,208.88
United Facility/Professional Professional Modifier Low / Median / High Price $314.02 / $576.09 / $1,423.56	Professional		$314.02	$576.09	$1,423.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.86 / $124.62 / $242.92	Professional	26	$89.86	$124.62	$242.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $242.97 / $525.15 / $1,099.72	Professional	TC	$242.97	$525.15	$1,099.72