Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $426.72 / $427.02 / $1,249.30	Facility	26	$426.72	$427.02	$1,249.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.98 / $804.12 / $1,135.91	Professional		$660.98	$804.12	$1,135.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $426.72 / $496.85 / $777.45	Professional	26	$426.72	$496.85	$777.45
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $514.50 / $1,138.94 / $4,284.56	Facility	26	$514.50	$1,138.94	$4,284.56
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $741.38 / $1,205.08 / $6,280.00	Professional		$741.38	$1,205.08	$6,280.00
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $397.58 / $630.04 / $5,024.00	Professional	26	$397.58	$630.04	$5,024.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $540.07 / $902.89 / $1,379.99	Professional	26	$540.07	$902.89	$1,379.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,086.22 / $1,708.15 / $3,035.03	Professional		$1,086.22	$1,708.15	$3,035.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $521.91 / $930.76 / $1,454.60	Professional	26	$521.91	$930.76	$1,454.60
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $570.66 / $814.95 / $1,513.41	Professional		$570.66	$814.95	$1,513.41
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,149.33 / $2,089.16 / $2,892.89	Professional		$1,149.33	$2,089.16	$2,892.89
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $571.39 / $1,055.35 / $1,456.47	Professional	26	$571.39	$1,055.35	$1,456.47
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,017.43 / $1,370.11 / $1,370.11	Professional		$1,017.43	$1,370.11	$1,370.11
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $3,401.60 / $4,284.56 / $4,284.56	Facility	26	$3,401.60	$4,284.56	$4,284.56
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $821.73 / $1,221.63 / $6,280.00	Professional		$821.73	$1,221.63	$6,280.00
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $514.92 / $759.33 / $5,024.00	Professional	26	$514.92	$759.33	$5,024.00
United Facility/Professional Professional Modifier Low / Median / High Price $797.41 / $1,149.33 / $2,536.59	Professional		$797.41	$1,149.33	$2,536.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $500.49 / $617.91 / $1,255.80	Professional	26	$500.49	$617.91	$1,255.80