Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.51 / $125.00 / $257.60	Facility	26	$87.51	$125.00	$257.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.63 / $125.00 / $494.00	Professional	26	$93.63	$125.00	$494.00
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $209.43 / $281.58 / $814.88	Facility	26	$209.43	$281.58	$814.88
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $66.40 / $113.20 / $1,201.05	Professional	26	$66.40	$113.20	$1,201.05
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $101.07 / $169.88 / $242.77	Professional	26	$101.07	$169.88	$242.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.31 / $134.31 / $276.45	Professional	26	$97.31	$134.31	$276.45
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $108.54 / $193.39 / $270.33	Professional	26	$108.54	$193.39	$270.33
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $814.88 / $814.88 / $960.00	Facility	26	$814.88	$814.88	$960.00
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $81.31 / $129.00 / $1,201.05	Professional	26	$81.31	$129.00	$1,201.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $80.30 / $113.91 / $229.63	Professional	26	$80.30	$113.91	$229.63