Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.76 / $125.00 / $125.00	Facility	26	$85.76	$125.00	$125.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.91 / $125.00 / $275.10	Professional	26	$90.91	$125.00	$275.10
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $203.75 / $269.50 / $318.83	Facility	26	$203.75	$269.50	$318.83
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $64.59 / $109.94 / $319.43	Professional	26	$64.59	$109.94	$319.43
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $126.14 / $169.71 / $219.95	Professional	26	$126.14	$169.71	$219.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $94.67 / $130.50 / $262.39	Professional	26	$94.67	$130.50	$262.39
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $106.09 / $189.02 / $264.23	Professional	26	$106.09	$189.02	$264.23
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $207.94 / $207.94 / $426.88	Facility	26	$207.94	$207.94	$426.88
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $86.03 / $121.97 / $554.45	Professional	26	$86.03	$121.97	$554.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $86.03 / $116.89 / $228.85	Professional	26	$86.03	$116.89	$228.85