Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $177.83 / $177.83 / $371.54	Facility	26	$177.83	$177.83	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $354.81 / $1,348.96	Professional		$269.15	$354.81	$1,348.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $218.78 / $676.08	Professional	26	$169.82	$218.78	$676.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $114.82 / $234.42	Professional	TC	$93.33	$114.82	$234.42
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $407.38 / $575.44 / $1,174.90	Facility	26	$407.38	$575.44	$1,174.90
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $478.63 / $1,862.09	Professional		$251.19	$478.63	$1,862.09
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $158.49 / $288.40 / $1,174.90	Professional	26	$158.49	$288.40	$1,174.90
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $186.21 / $691.83	Professional	TC	$100.00	$186.21	$691.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $575.44 / $776.25	Professional		$338.84	$575.44	$776.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $213.80 / $363.08 / $478.63	Professional	26	$213.80	$363.08	$478.63
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $218.78 / $295.12	Professional	TC	$128.82	$218.78	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $489.78 / $954.99	Professional		$302.00	$489.78	$954.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $199.53 / $309.03 / $588.84	Professional	26	$199.53	$309.03	$588.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $199.53 / $346.74	Professional	TC	$120.23	$199.53	$346.74
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $208.93 / $457.09	Professional		$95.50	$208.93	$457.09
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $537.03 / $870.96	Professional		$309.03	$537.03	$870.96
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $194.98 / $338.84 / $524.81	Professional	26	$194.98	$338.84	$524.81
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $204.17 / $309.03	Professional	TC	$114.82	$204.17	$309.03
Health New England Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $346.74 / $575.44	Professional		$194.98	$346.74	$575.44
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $407.38 / $575.44 / $1,174.90	Facility	26	$407.38	$575.44	$1,174.90
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $478.63 / $1,862.09	Professional		$251.19	$478.63	$1,862.09
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $158.49 / $295.12 / $1,174.90	Professional	26	$158.49	$295.12	$1,174.90
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $186.21 / $691.83	Professional	TC	$100.00	$186.21	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $501.19 / $933.25	Professional		$316.23	$501.19	$933.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $194.98 / $316.23 / $575.44	Professional	26	$194.98	$316.23	$575.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $194.98 / $338.84	Professional	TC	$120.23	$194.98	$338.84