Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.78 / $45.78 / $45.78	Facility	26	$45.78	$45.78	$45.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.36 / $104.28 / $258.08	Professional		$90.36	$104.28	$258.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.15 / $64.78 / $216.44	Professional	26	$45.15	$64.78	$216.44
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $98.98 / $108.26 / $147.13	Facility	26	$98.98	$108.26	$147.13
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $82.85 / $158.26 / $614.40	Professional		$82.85	$158.26	$614.40
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $44.91 / $94.72 / $314.88	Professional	26	$44.91	$94.72	$314.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.28 / $49.28 / $49.28	Professional	26	$49.28	$49.28	$49.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.12 / $182.10 / $323.63	Professional		$126.12	$182.10	$323.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.89 / $93.08 / $165.43	Professional	26	$62.89	$93.08	$165.43
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $54.35 / $72.84 / $143.69	Professional		$54.35	$72.84	$143.69
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $108.54 / $214.26 / $288.50	Professional		$108.54	$214.26	$288.50
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $56.93 / $107.72 / $143.29	Professional	26	$56.93	$107.72	$143.29
Health New England Facility/Professional Professional Modifier Low / Median / High Price $109.93 / $118.93 / $139.16	Professional		$109.93	$118.93	$139.16
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $108.26 / $108.26 / $216.03	Facility	26	$108.26	$108.26	$216.03
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $108.69 / $192.10 / $614.40	Professional		$108.69	$192.10	$614.40
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $58.08 / $110.52 / $314.88	Professional	26	$58.08	$110.52	$314.88
United Facility/Professional Professional Modifier Low / Median / High Price $106.82 / $158.12 / $387.34	Professional		$106.82	$158.12	$387.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.60 / $89.45 / $176.65	Professional	26	$51.60	$89.45	$176.65