Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.45 / $125.00 / $196.45	Facility	26	$67.45	$125.00	$196.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.63 / $125.00 / $1,464.25	Professional	26	$93.63	$125.00	$1,464.25
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $160.16 / $216.53 / $497.44	Facility	26	$160.16	$216.53	$497.44
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $50.78 / $87.91 / $3,244.00	Professional	26	$50.78	$87.91	$3,244.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $77.84 / $130.85 / $187.00	Professional	26	$77.84	$130.85	$187.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.40 / $102.76 / $211.52	Professional	26	$74.40	$102.76	$211.52
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $83.56 / $148.88 / $208.11	Professional	26	$83.56	$148.88	$208.11
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $497.44 / $497.44 / $628.16	Facility	26	$497.44	$497.44	$628.16
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $62.63 / $100.44 / $3,244.00	Professional	26	$62.63	$100.44	$3,244.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.63 / $91.57 / $178.11	Professional	26	$62.63	$91.57	$178.11