Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.78 / $125.00 / $246.15	Facility	26	$81.78	$125.00	$246.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.97 / $125.00 / $174.86	Professional	26	$83.97	$125.00	$174.86
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $195.17 / $259.38 / $306.86	Facility	26	$195.17	$259.38	$306.86
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $61.88 / $107.80 / $2,733.83	Professional	26	$61.88	$107.80	$2,733.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.72 / $125.13 / $258.26	Professional	26	$90.72	$125.13	$258.26
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $101.17 / $180.25 / $251.97	Professional	26	$101.17	$180.25	$251.97
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $197.95 / $197.95 / $1,566.00	Facility	26	$197.95	$197.95	$1,566.00
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $80.45 / $122.47 / $2,733.83	Professional	26	$80.45	$122.47	$2,733.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.45 / $109.81 / $232.07	Professional	26	$79.45	$109.81	$232.07