Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $56.23 / $194.98	Facility	26	$25.12	$56.23	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $125.89 / $302.00	Professional		$89.13	$125.89	$302.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $50.12 / $123.03	Professional	26	$31.62	$50.12	$123.03
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $309.03 / $309.03	Facility	26	$114.82	$309.03	$309.03
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $141.25 / $794.33	Professional		$85.11	$141.25	$794.33
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $53.70 / $309.03	Professional	26	$34.67	$53.70	$309.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $89.13 / $125.89	Professional	26	$54.95	$89.13	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $162.18 / $331.13	Professional		$83.18	$162.18	$331.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $64.57 / $128.82	Professional	26	$36.31	$64.57	$128.82
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $104.71 / $213.80	Professional		$63.10	$104.71	$213.80
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $169.82 / $338.84	Professional		$109.65	$169.82	$338.84
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $72.44 / $131.83	Professional	26	$48.98	$72.44	$131.83
Health New England Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $125.89 / $398.11	Professional		$63.10	$125.89	$398.11
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $309.03 / $309.03	Facility	26	$114.82	$309.03	$309.03
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $141.25 / $794.33	Professional		$85.11	$141.25	$794.33
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $53.70 / $309.03	Professional	26	$34.67	$53.70	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $144.54 / $316.23	Professional		$85.11	$144.54	$316.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $51.29 / $131.83	Professional	26	$33.88	$51.29	$131.83