Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.07 / $141.25 / $338.84	Facility	26	$66.07	$141.25	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $338.84 / $1,174.90	Professional		$204.17	$338.84	$1,174.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $131.83 / $338.84	Professional	26	$74.13	$131.83	$338.84
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $199.53 / $346.74 / $776.25	Facility	26	$199.53	$346.74	$776.25
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $512.86 / $2,951.21	Professional		$269.15	$512.86	$2,951.21
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $117.49 / $537.03	Professional	26	$74.13	$117.49	$537.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $707.95 / $1,148.15	Professional		$407.38	$707.95	$1,148.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $165.96 / $218.78	Professional	26	$95.50	$165.96	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $537.03 / $977.24	Professional		$269.15	$537.03	$977.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $120.23 / $251.19	Professional	26	$72.44	$120.23	$251.19
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $338.84 / $676.08	Professional		$112.20	$338.84	$676.08
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $489.78 / $851.14	Professional		$338.84	$489.78	$851.14
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $128.82 / $234.42	Professional	26	$85.11	$128.82	$234.42
Health New England Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $134.90 / $169.82	Professional		$120.23	$134.90	$169.82
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $199.53 / $346.74 / $776.25	Facility	26	$199.53	$346.74	$776.25
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $501.19 / $2,951.21	Professional		$269.15	$501.19	$2,951.21
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $117.49 / $537.03	Professional	26	$74.13	$117.49	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $501.19 / $912.01	Professional		$331.13	$501.19	$912.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $117.49 / $251.19	Professional	26	$83.18	$117.49	$251.19