Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.67 / $17.67 / $65.69	Facility	26	$17.67	$17.67	$65.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.73 / $107.95 / $201.36	Professional		$82.73	$107.95	$201.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.67 / $24.12 / $69.84	Professional	26	$17.67	$24.12	$69.84
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $89.57 / $94.09 / $187.10	Facility	26	$89.57	$94.09	$187.10
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $90.95 / $173.78 / $810.58	Professional		$90.95	$173.78	$810.58
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $27.76 / $55.75 / $242.65	Professional	26	$27.76	$55.75	$242.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.53 / $72.76 / $111.23	Professional	26	$43.53	$72.76	$111.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.84 / $191.84 / $399.73	Professional		$90.84	$191.84	$399.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.33 / $50.01 / $95.68	Professional	26	$27.33	$50.01	$95.68
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $48.92 / $123.70 / $223.50	Professional		$48.92	$123.70	$223.50
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $147.46 / $279.73 / $385.62	Professional		$147.46	$279.73	$385.62
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $46.69 / $93.12 / $122.10	Professional	26	$46.69	$93.12	$122.10
Health New England Facility/Professional Professional Modifier Low / Median / High Price $53.54 / $59.21 / $86.47	Professional		$53.54	$59.21	$86.47
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $90.38 / $187.10 / $187.10	Facility	26	$90.38	$187.10	$187.10
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $89.95 / $174.98 / $810.58	Professional		$89.95	$174.98	$810.58
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $25.15 / $56.23 / $242.65	Professional	26	$25.15	$56.23	$242.65
United Facility/Professional Professional Modifier Low / Median / High Price $86.85 / $161.38 / $292.80	Professional		$86.85	$161.38	$292.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.62 / $49.62 / $87.54	Professional	26	$22.62	$49.62	$87.54