Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $152.22 / $152.22 / $289.88	Facility	26	$152.22	$152.22	$289.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.88 / $281.82 / $747.00	Professional		$228.88	$281.82	$747.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $141.53 / $165.65 / $432.90	Professional	26	$141.53	$165.65	$432.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $88.20 / $106.11 / $165.56	Professional	TC	$88.20	$106.11	$165.56
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $343.96 / $381.76 / $767.41	Facility	26	$343.96	$381.76	$767.41
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $244.20 / $450.54 / $1,600.14	Professional		$244.20	$450.54	$1,600.14
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $143.28 / $283.25 / $982.86	Professional	26	$143.28	$283.25	$982.86
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $98.36 / $196.46 / $617.27	Professional	TC	$98.36	$196.46	$617.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $345.64 / $485.23 / $678.51	Professional		$345.64	$485.23	$678.51
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $178.31 / $293.32 / $416.89	Professional	26	$178.31	$293.32	$416.89
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $133.27 / $187.05 / $248.59	Professional	TC	$133.27	$187.05	$248.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.68 / $377.54 / $812.87	Professional		$115.68	$377.54	$812.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $169.85 / $294.79 / $528.75	Professional	26	$169.85	$294.79	$528.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $111.78 / $200.94 / $353.36	Professional	TC	$111.78	$200.94	$353.36
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $158.51 / $353.23	Professional		$68.86	$158.51	$353.23
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $297.37 / $587.01 / $777.65	Professional		$297.37	$587.01	$777.65
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $189.24 / $358.99 / $476.32	Professional	26	$189.24	$358.99	$476.32
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $108.13 / $205.12 / $275.62	Professional	TC	$108.13	$205.12	$275.62
Health New England Facility/Professional Professional Modifier Low / Median / High Price $247.70 / $379.55 / $680.00	Professional		$247.70	$379.55	$680.00
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $358.27 / $358.27 / $767.41	Facility	26	$358.27	$358.27	$767.41
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $293.36 / $488.75 / $1,600.14	Professional		$293.36	$488.75	$1,600.14
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $170.20 / $302.52 / $982.86	Professional	26	$170.20	$302.52	$982.86
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $114.44 / $204.04 / $617.27	Professional	TC	$114.44	$204.04	$617.27
United Facility/Professional Professional Modifier Low / Median / High Price $280.33 / $434.45 / $1,008.24	Professional		$280.33	$434.45	$1,008.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $163.85 / $246.01 / $485.54	Professional	26	$163.85	$246.01	$485.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $109.37 / $172.30 / $402.48	Professional	TC	$109.37	$172.30	$402.48