Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.53 / $181.34 / $181.34	Facility	26	$128.53	$181.34	$181.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.89 / $243.17 / $640.00	Professional		$199.89	$243.17	$640.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $120.34 / $138.50 / $382.90	Professional	26	$120.34	$138.50	$382.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $78.06 / $101.36 / $148.97	Professional	TC	$78.06	$101.36	$148.97
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $287.04 / $318.58 / $642.01	Facility	26	$287.04	$318.58	$642.01
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $209.08 / $384.75 / $1,374.92	Professional		$209.08	$384.75	$1,374.92
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $120.03 / $237.20 / $824.31	Professional	26	$120.03	$237.20	$824.31
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $87.15 / $174.07 / $550.61	Professional	TC	$87.15	$174.07	$550.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $297.33 / $417.36 / $554.60	Professional		$297.33	$417.36	$554.60
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $149.11 / $245.29 / $348.62	Professional	26	$149.11	$245.29	$348.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $119.74 / $168.06 / $223.35	Professional	TC	$119.74	$168.06	$223.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.68 / $322.83 / $695.37	Professional		$115.68	$322.83	$695.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $142.22 / $245.89 / $443.14	Professional	26	$142.22	$245.89	$443.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $98.80 / $181.88 / $314.23	Professional	TC	$98.80	$181.88	$314.23
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $61.88 / $137.13 / $303.50	Professional		$61.88	$137.13	$303.50
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $255.18 / $503.73 / $666.70	Professional		$255.18	$503.73	$666.70
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $158.11 / $299.93 / $397.96	Professional	26	$158.11	$299.93	$397.96
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $97.08 / $184.16 / $247.46	Professional	TC	$97.08	$184.16	$247.46
Health New England Facility/Professional Professional Modifier Low / Median / High Price $207.40 / $375.36 / $678.98	Professional		$207.40	$375.36	$678.98
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $299.41 / $299.41 / $642.01	Facility	26	$299.41	$299.41	$642.01
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $255.94 / $418.47 / $1,374.92	Professional		$255.94	$418.47	$1,374.92
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $142.24 / $254.07 / $824.31	Professional	26	$142.24	$254.07	$824.31
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $105.84 / $187.91 / $550.61	Professional	TC	$105.84	$187.91	$550.61
United Facility/Professional Professional Modifier Low / Median / High Price $249.95 / $326.76 / $839.10	Professional		$249.95	$326.76	$839.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $141.79 / $202.24 / $401.28	Professional	26	$141.79	$202.24	$401.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $101.44 / $156.87 / $370.94	Professional	TC	$101.44	$156.87	$370.94