Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.59 / $25.59 / $94.91	Facility	26	$25.59	$25.59	$94.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.95 / $113.48 / $181.63	Professional		$90.95	$113.48	$181.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.59 / $36.44 / $114.83	Professional	26	$25.59	$36.44	$114.83
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $114.02 / $119.77 / $234.22	Facility	26	$114.02	$119.77	$234.22
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $84.56 / $155.05 / $803.00	Professional		$84.56	$155.05	$803.00
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $35.36 / $67.95 / $310.62	Professional	26	$35.36	$67.95	$310.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.54 / $91.33 / $121.36	Professional	26	$69.54	$91.33	$121.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.98 / $186.29 / $345.93	Professional		$89.98	$186.29	$345.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.06 / $67.77 / $134.60	Professional	26	$38.06	$67.77	$134.60
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $60.45 / $95.41 / $181.87	Professional		$60.45	$95.41	$181.87
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $130.25 / $258.20 / $350.81	Professional		$130.25	$258.20	$350.81
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $58.98 / $118.79 / $154.24	Professional	26	$58.98	$118.79	$154.24
Health New England Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $75.98 / $394.40	Professional		$63.00	$75.98	$394.40
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $114.26 / $234.22 / $234.22	Facility	26	$114.26	$234.22	$234.22
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $88.02 / $163.91 / $803.00	Professional		$88.02	$163.91	$803.00
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $34.61 / $67.95 / $310.62	Professional	26	$34.61	$67.95	$310.62
United Facility/Professional Professional Modifier Low / Median / High Price $83.35 / $132.85 / $260.97	Professional		$83.35	$132.85	$260.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.15 / $45.38 / $108.52	Professional	26	$34.15	$45.38	$108.52