Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.60 / $23.60 / $52.97	Facility	26	$23.60	$23.60	$52.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.10 / $107.13 / $244.00	Professional		$40.10	$107.13	$244.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.03 / $70.14 / $160.85	Professional	26	$25.03	$70.14	$160.85
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $70.61 / $93.76 / $101.78	Facility	26	$70.61	$93.76	$101.78
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $52.76 / $93.78 / $348.00	Professional		$52.76	$93.78	$348.00
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $30.72 / $59.50 / $210.00	Professional	26	$30.72	$59.50	$210.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.43 / $95.82 / $129.80	Professional		$58.43	$95.82	$129.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.65 / $53.69 / $72.51	Professional	26	$41.65	$53.69	$72.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.84 / $101.37 / $186.93	Professional		$56.84	$101.37	$186.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.22 / $58.67 / $104.57	Professional	26	$32.22	$58.67	$104.57
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $15.66 / $32.93 / $72.56	Professional		$15.66	$32.93	$72.56
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $60.62 / $120.17 / $183.55	Professional		$60.62	$120.17	$183.55
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $35.64 / $70.65 / $89.71	Professional	26	$35.64	$70.65	$89.71
Health New England Facility/Professional Professional Modifier Low / Median / High Price $45.25 / $79.16 / $118.65	Professional		$45.25	$79.16	$118.65
Health New England Facility/Professional Professional Modifier 26 Low / Median / High Price $20.47 / $22.07 / $23.34	Professional	26	$20.47	$22.07	$23.34
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $70.61 / $70.61 / $137.18	Facility	26	$70.61	$70.61	$137.18
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $52.76 / $105.25 / $348.00	Professional		$52.76	$105.25	$348.00
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $35.84 / $63.61 / $210.00	Professional	26	$35.84	$63.61	$210.00
Tufts Facility/Professional Professional Modifier Low / Median / High Price $52.81 / $53.42 / $82.23	Professional		$52.81	$53.42	$82.23
United Facility/Professional Professional Modifier Low / Median / High Price $51.68 / $73.34 / $158.63	Professional		$51.68	$73.34	$158.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.29 / $41.90 / $93.59	Professional	26	$32.29	$41.90	$93.59