Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.40 / $57.40 / $215.37	Facility	26	$57.40	$57.40	$215.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.03 / $171.34 / $304.55	Professional		$130.03	$171.34	$304.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.40 / $73.37 / $118.18	Professional	26	$57.40	$73.37	$118.18
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $178.39 / $187.38 / $376.39	Facility	26	$178.39	$187.38	$376.39
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $149.94 / $261.99 / $1,115.94	Professional		$149.94	$261.99	$1,115.94
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $69.88 / $115.72 / $476.34	Professional	26	$69.88	$115.72	$476.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $103.93 / $146.00 / $194.03	Professional	26	$103.93	$146.00	$194.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.88 / $268.83 / $547.60	Professional		$163.88	$268.83	$547.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.15 / $119.07 / $225.16	Professional	26	$73.15	$119.07	$225.16
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $96.13 / $160.33 / $310.37	Professional		$96.13	$160.33	$310.37
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $214.63 / $402.43 / $544.73	Professional		$214.63	$402.43	$544.73
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $92.98 / $182.05 / $243.15	Professional	26	$92.98	$182.05	$243.15
Health New England Facility/Professional Professional Modifier Low / Median / High Price $226.95 / $226.95 / $226.95	Professional		$226.95	$226.95	$226.95
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $179.26 / $376.39 / $376.39	Facility	26	$179.26	$376.39	$376.39
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $159.81 / $249.65 / $1,115.94	Professional		$159.81	$249.65	$1,115.94
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $70.80 / $112.17 / $476.34	Professional	26	$70.80	$112.17	$476.34
United Facility/Professional Professional Modifier Low / Median / High Price $157.81 / $225.50 / $432.26	Professional		$157.81	$225.50	$432.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.84 / $99.59 / $179.20	Professional	26	$66.84	$99.59	$179.20