Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $125.00 / $268.16	Facility	26	$89.13	$125.00	$268.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.63 / $125.00 / $296.76	Professional	26	$93.63	$125.00	$296.76
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $211.03 / $287.60 / $830.48	Facility	26	$211.03	$287.60	$830.48
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $66.91 / $114.66 / $1,503.99	Professional	26	$66.91	$114.66	$1,503.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $102.81 / $172.80 / $246.95	Professional	26	$102.81	$172.80	$246.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.98 / $136.12 / $278.81	Professional	26	$97.98	$136.12	$278.81
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $110.59 / $197.04 / $275.44	Professional	26	$110.59	$197.04	$275.44
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $830.48 / $830.48 / $960.00	Facility	26	$830.48	$830.48	$960.00
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $84.13 / $131.22 / $1,503.99	Professional	26	$84.13	$131.22	$1,503.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $84.13 / $122.56 / $333.12	Professional	26	$84.13	$122.56	$333.12