Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.81 / $11.81 / $44.42	Facility	26	$11.81	$11.81	$44.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.82 / $83.19 / $112.50	Professional		$62.82	$83.19	$112.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.09 / $14.68 / $17.59	Professional	26	$11.09	$14.68	$17.59
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $34.40 / $110.00 / $137.84	Facility	26	$34.40	$110.00	$137.84
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $79.41 / $141.91 / $611.40	Professional		$79.41	$141.91	$611.40
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $14.09 / $22.51 / $163.46	Professional	26	$14.09	$22.51	$163.46
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.88 / $28.65 / $38.08	Professional	26	$19.88	$28.65	$38.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.45 / $155.72 / $322.67	Professional		$80.45	$155.72	$322.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.07 / $25.03 / $43.85	Professional	26	$16.07	$25.03	$43.85
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $19.27 / $122.63 / $202.14	Professional		$19.27	$122.63	$202.14
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $126.16 / $250.10 / $329.92	Professional		$126.16	$250.10	$329.92
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $18.43 / $36.76 / $48.20	Professional	26	$18.43	$36.76	$48.20
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $110.00 / $137.84 / $137.84	Facility	26	$110.00	$137.84	$137.84
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $80.19 / $134.79 / $611.40	Professional		$80.19	$134.79	$611.40
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $14.67 / $24.26 / $163.46	Professional	26	$14.67	$24.26	$163.46
United Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $120.89 / $247.12	Professional		$76.09	$120.89	$247.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.09 / $18.67 / $34.85	Professional	26	$14.09	$18.67	$34.85