Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.66 / $100.66 / $100.66	Facility	26	$100.66	$100.66	$100.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.37 / $322.24 / $434.31	Professional		$252.37	$322.24	$434.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.56 / $102.73 / $145.08	Professional	26	$90.56	$102.73	$145.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $152.07 / $207.67 / $318.50	Professional	TC	$152.07	$207.67	$318.50
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $222.23 / $242.86 / $495.05	Facility	26	$222.23	$242.86	$495.05
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $214.80 / $501.61 / $2,013.87	Professional		$214.80	$501.61	$2,013.87
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $102.00 / $195.28 / $716.57	Professional	26	$102.00	$195.28	$716.57
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $140.34 / $369.76 / $1,590.04	Professional	TC	$140.34	$369.76	$1,590.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $127.10 / $189.04 / $255.29	Professional	26	$127.10	$189.04	$255.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.19 / $532.47 / $932.68	Professional		$256.19	$532.47	$932.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.16 / $193.53 / $341.42	Professional	26	$110.16	$193.53	$341.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $163.41 / $356.61 / $629.32	Professional	TC	$163.41	$356.61	$629.32
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $74.27 / $191.85 / $438.18	Professional		$74.27	$191.85	$438.18
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $356.76 / $676.06 / $897.96	Professional		$356.76	$676.06	$897.96
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $122.06 / $231.55 / $307.22	Professional	26	$122.06	$231.55	$307.22
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $234.70 / $445.23 / $590.74	Professional	TC	$234.70	$445.23	$590.74
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $232.57 / $232.57 / $495.05	Facility	26	$232.57	$232.57	$495.05
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $234.29 / $521.63 / $2,013.87	Professional		$234.29	$521.63	$2,013.87
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $109.94 / $209.54 / $716.57	Professional	26	$109.94	$209.54	$716.57
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $155.19 / $390.82 / $1,590.04	Professional	TC	$155.19	$390.82	$1,590.04
United Facility/Professional Professional Modifier Low / Median / High Price $212.89 / $359.33 / $881.95	Professional		$212.89	$359.33	$881.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $106.10 / $149.80 / $287.14	Professional	26	$106.10	$149.80	$287.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $134.33 / $287.60 / $600.86	Professional	TC	$134.33	$287.60	$600.86