Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $38.02 / $151.36	Facility	26	$16.98	$38.02	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $125.89 / $338.84	Professional		$83.18	$125.89	$338.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $48.98 / $104.71	Professional	26	$22.91	$48.98	$104.71
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $239.88 / $239.88	Facility	26	$89.13	$239.88	$239.88
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $147.91 / $812.83	Professional		$87.10	$147.91	$812.83
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $50.12 / $239.88	Professional	26	$26.30	$50.12	$239.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $74.13 / $100.00	Professional	26	$43.65	$74.13	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $173.78 / $346.74	Professional		$85.11	$173.78	$346.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $47.86 / $97.72	Professional	26	$25.70	$47.86	$97.72
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $128.82 / $234.42	Professional		$48.98	$128.82	$234.42
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $239.88 / $371.54	Professional		$141.25	$239.88	$371.54
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $57.54 / $104.71	Professional	26	$38.02	$57.54	$104.71
Health New England Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $56.23 / $77.62	Professional		$53.70	$56.23	$77.62
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $239.88 / $239.88	Facility	26	$89.13	$239.88	$239.88
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $147.91 / $812.83	Professional		$89.13	$147.91	$812.83
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $50.12 / $239.88	Professional	26	$27.54	$50.12	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $158.49 / $323.59	Professional		$87.10	$158.49	$323.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $50.12 / $102.33	Professional	26	$23.99	$50.12	$102.33