Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.05 / $50.05 / $188.01	Facility	26	$50.05	$50.05	$188.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.77 / $366.61 / $421.81	Professional		$297.77	$366.61	$421.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.06 / $67.30 / $98.19	Professional	26	$49.06	$67.30	$98.19
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $71.73 / $153.81 / $315.45	Facility	26	$71.73	$153.81	$315.45
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $272.89 / $451.68 / $2,260.82	Professional		$272.89	$451.68	$2,260.82
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $48.31 / $82.34 / $603.00	Professional	26	$48.31	$82.34	$603.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $73.25 / $126.06 / $175.95	Professional	26	$73.25	$126.06	$175.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.62 / $653.10 / $1,131.19	Professional		$331.62	$653.10	$1,131.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.27 / $110.73 / $194.89	Professional	26	$77.27	$110.73	$194.89
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $82.50 / $373.79 / $625.79	Professional		$82.50	$373.79	$625.79
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $407.14 / $763.39 / $1,064.71	Professional		$407.14	$763.39	$1,064.71
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $78.64 / $140.11 / $195.86	Professional	26	$78.64	$140.11	$195.86
Health New England Facility/Professional Professional Modifier Low / Median / High Price $90.97 / $93.50 / $102.08	Professional		$90.97	$93.50	$102.08
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $153.81 / $153.81 / $315.45	Facility	26	$153.81	$153.81	$315.45
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $257.72 / $527.54 / $2,260.82	Professional		$257.72	$527.54	$2,260.82
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $64.03 / $95.59 / $603.00	Professional	26	$64.03	$95.59	$603.00
United Facility/Professional Professional Modifier Low / Median / High Price $257.72 / $495.76 / $1,390.97	Professional		$257.72	$495.76	$1,390.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.03 / $89.87 / $212.01	Professional	26	$64.03	$89.87	$212.01