Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.90 / $20.90 / $77.29	Facility	26	$20.90	$20.90	$77.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.21 / $121.07 / $150.97	Professional		$91.21	$121.07	$150.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.90 / $27.89 / $35.88	Professional	26	$20.90	$27.89	$35.88
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $69.97 / $74.01 / $148.53	Facility	26	$69.97	$74.01	$148.53
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $116.17 / $194.01 / $963.76	Professional		$116.17	$194.01	$963.76
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $25.69 / $44.39 / $236.11	Professional	26	$25.69	$44.39	$236.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.76 / $58.10 / $77.22	Professional	26	$34.76	$58.10	$77.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.85 / $225.81 / $412.64	Professional		$117.85	$225.81	$412.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.75 / $47.31 / $88.95	Professional	26	$28.75	$47.31	$88.95
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $38.84 / $116.65 / $206.21	Professional		$38.84	$116.65	$206.21
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $156.11 / $272.63 / $378.61	Professional		$156.11	$272.63	$378.61
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $37.27 / $73.88 / $97.46	Professional	26	$37.27	$73.88	$97.46
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $69.97 / $148.53 / $148.53	Facility	26	$69.97	$148.53	$148.53
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $132.61 / $202.70 / $963.76	Professional		$132.61	$202.70	$963.76
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $27.77 / $44.91 / $236.11	Professional	26	$27.77	$44.91	$236.11
United Facility/Professional Professional Modifier Low / Median / High Price $132.25 / $168.37 / $319.33	Professional		$132.25	$168.37	$319.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.33 / $38.27 / $68.01	Professional	26	$26.33	$38.27	$68.01