Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.19 / $41.19 / $151.65	Facility	26	$41.19	$41.19	$151.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.32 / $209.52 / $285.00	Professional		$117.32	$209.52	$285.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.19 / $59.68 / $173.70	Professional	26	$41.19	$59.68	$173.70
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $218.04 / $229.03 / $453.39	Facility	26	$218.04	$229.03	$453.39
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $181.51 / $389.94 / $3,186.33	Professional		$181.51	$389.94	$3,186.33
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $66.95 / $135.19 / $676.01	Professional	26	$66.95	$135.19	$676.01
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $132.40 / $177.08 / $235.30	Professional	26	$132.40	$177.08	$235.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.48 / $359.90 / $596.88	Professional		$176.48	$359.90	$596.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.89 / $122.59 / $257.64	Professional	26	$65.89	$122.59	$257.64
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $102.85 / $146.97 / $280.02	Professional		$102.85	$146.97	$280.02
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $209.72 / $422.38 / $557.44	Professional		$209.72	$422.38	$557.44
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $114.69 / $229.38 / $299.93	Professional	26	$114.69	$229.38	$299.93
Health New England Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $144.62 / $444.88	Professional		$125.00	$144.62	$444.88
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $221.69 / $453.39 / $453.39	Facility	26	$221.69	$453.39	$453.39
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $196.12 / $460.17 / $3,186.33	Professional		$196.12	$460.17	$3,186.33
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $61.36 / $136.59 / $676.01	Professional	26	$61.36	$136.59	$676.01
United Facility/Professional Professional Modifier Low / Median / High Price $187.67 / $331.74 / $650.44	Professional		$187.67	$331.74	$650.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.04 / $128.83 / $221.89	Professional	26	$59.04	$128.83	$221.89