Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.14 / $49.14 / $184.19	Facility	26	$49.14	$49.14	$184.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.13 / $98.88 / $152.06	Professional		$68.13	$98.88	$152.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.14 / $70.20 / $245.97	Professional	26	$49.14	$70.20	$245.97
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $75.05 / $158.69 / $336.21	Facility	26	$75.05	$158.69	$336.21
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $90.30 / $218.46 / $1,748.00	Professional		$90.30	$218.46	$1,748.00
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $59.46 / $105.23 / $496.08	Professional	26	$59.46	$105.23	$496.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $155.66 / $155.66 / $155.66	Professional	26	$155.66	$155.66	$155.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.68 / $199.58 / $354.50	Professional		$125.68	$199.58	$354.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.32 / $136.63 / $209.88	Professional	26	$86.32	$136.63	$209.88
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $38.59 / $96.93 / $173.90	Professional		$38.59	$96.93	$173.90
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $117.15 / $221.66 / $291.77	Professional		$117.15	$221.66	$291.77
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $82.74 / $164.02 / $208.26	Professional	26	$82.74	$164.02	$208.26
Health New England Facility/Professional Professional Modifier Low / Median / High Price $198.93 / $198.93 / $198.93	Professional		$198.93	$198.93	$198.93
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $158.69 / $158.69 / $336.21	Facility	26	$158.69	$158.69	$336.21
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $105.70 / $271.52 / $1,748.00	Professional		$105.70	$271.52	$1,748.00
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $66.73 / $114.33 / $496.08	Professional	26	$66.73	$114.33	$496.08
United Facility/Professional Professional Modifier Low / Median / High Price $97.24 / $188.03 / $356.11	Professional		$97.24	$188.03	$356.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.17 / $86.73 / $195.39	Professional	26	$61.17	$86.73	$195.39