Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $179.56 / $179.56 / $343.92	Facility	26	$179.56	$179.56	$343.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.17 / $326.44 / $907.20	Professional		$270.17	$326.44	$907.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $171.18 / $196.59 / $514.15	Professional	26	$171.18	$196.59	$514.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.38 / $116.85 / $174.46	Professional	TC	$97.38	$116.85	$174.46
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $407.66 / $452.46 / $910.58	Facility	26	$407.66	$452.46	$910.58
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $282.37 / $520.69 / $1,850.58	Professional		$282.37	$520.69	$1,850.58
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $169.35 / $334.85 / $1,166.03	Professional	26	$169.35	$334.85	$1,166.03
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $108.96 / $217.62 / $684.55	Professional	TC	$108.96	$217.62	$684.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.58 / $567.64 / $793.94	Professional		$339.58	$567.64	$793.94
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $233.96 / $347.98 / $494.58	Professional	26	$233.96	$347.98	$494.58
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $141.61 / $214.03 / $284.44	Professional	TC	$141.61	$214.03	$284.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.68 / $434.93 / $938.26	Professional		$115.68	$434.93	$938.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $200.81 / $349.75 / $626.14	Professional	26	$200.81	$349.75	$626.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $125.07 / $222.59 / $390.30	Professional	TC	$125.07	$222.59	$390.30
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $78.79 / $185.75 / $413.53	Professional		$78.79	$185.75	$413.53
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $348.16 / $681.70 / $899.45	Professional		$348.16	$681.70	$899.45
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $224.46 / $439.49 / $564.97	Professional	26	$224.46	$439.49	$564.97
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $123.70 / $234.41 / $311.35	Professional	TC	$123.70	$234.41	$311.35
Health New England Facility/Professional Professional Modifier Low / Median / High Price $292.83 / $531.02 / $691.74	Professional		$292.83	$531.02	$691.74
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $425.11 / $425.11 / $910.58	Facility	26	$425.11	$425.11	$910.58
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $339.43 / $565.14 / $1,850.58	Professional		$339.43	$565.14	$1,850.58
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $201.92 / $359.18 / $1,166.03	Professional	26	$201.92	$359.18	$1,166.03
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $127.03 / $233.46 / $684.55	Professional	TC	$127.03	$233.46	$684.55
United Facility/Professional Professional Modifier Low / Median / High Price $310.37 / $495.98 / $869.65	Professional		$310.37	$495.98	$869.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $195.55 / $285.87 / $526.41	Professional	26	$195.55	$285.87	$526.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $121.48 / $175.42 / $343.31	Professional	TC	$121.48	$175.42	$343.31