Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.71 / $43.71 / $43.71	Facility	26	$43.71	$43.71	$43.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.89 / $352.65 / $508.81	Professional		$292.89	$352.65	$508.81
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $152.80 / $176.33 / $246.25	Professional	52	$152.80	$176.33	$246.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $252.77 / $307.94 / $450.21	Professional	TC	$252.77	$307.94	$450.21
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $98.83 / $109.69 / $220.83	Facility	26	$98.83	$109.69	$220.83
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $351.80 / $620.07 / $2,332.00	Professional		$351.80	$620.07	$2,332.00
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $303.89 / $592.14 / $2,048.28	Professional	TC	$303.89	$592.14	$2,048.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $518.48 / $771.16 / $1,041.42	Professional		$518.48	$771.16	$1,041.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.06 / $625.98 / $1,225.82	Professional		$116.06	$625.98	$1,225.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $320.31 / $607.92 / $1,072.71	Professional	TC	$320.31	$607.92	$1,072.71
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $259.38 / $598.35	Professional		$33.11	$259.38	$598.35
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $457.52 / $903.14 / $1,161.19	Professional		$457.52	$903.14	$1,161.19
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $403.05 / $764.59 / $1,014.48	Professional	TC	$403.05	$764.59	$1,014.48
Health New England Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $500.00 / $525.00	Professional		$500.00	$500.00	$525.00
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $102.98 / $102.98 / $220.83	Facility	26	$102.98	$102.98	$220.83
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $380.94 / $646.53 / $2,332.00	Professional		$380.94	$646.53	$2,332.00
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $328.50 / $600.07 / $2,048.28	Professional	TC	$328.50	$600.07	$2,048.28
United Facility/Professional Professional Modifier Low / Median / High Price $373.05 / $558.66 / $1,606.55	Professional		$373.05	$558.66	$1,606.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $312.38 / $509.08 / $967.07	Professional	TC	$312.38	$509.08	$967.07