Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $141.25 / $524.81	Professional		$69.18	$141.25	$524.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $67.61 / $616.60	Professional	26	$19.95	$67.61	$616.60
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $165.96 / $165.96 / $165.96	Facility	26	$165.96	$165.96	$165.96
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $190.55 / $891.25	Professional		$89.13	$190.55	$891.25
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $42.66 / $239.88	Professional	26	$19.50	$42.66	$239.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $169.82 / $446.68	Professional		$107.15	$169.82	$446.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $51.29 / $69.18	Professional	26	$30.20	$51.29	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $128.82 / $239.88	Professional		$50.12	$128.82	$239.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $26.92 / $54.95	Professional	26	$13.80	$26.92	$54.95
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $151.36 / $257.04	Professional		$33.11	$151.36	$257.04
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $281.84 / $416.87	Professional		$158.49	$281.84	$416.87
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $53.70 / $77.62	Professional	26	$30.90	$53.70	$77.62
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $165.96 / $165.96 / $165.96	Facility	26	$165.96	$165.96	$165.96
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $190.55 / $891.25	Professional		$97.72	$190.55	$891.25
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $42.66 / $239.88	Professional	26	$19.50	$42.66	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $158.49 / $363.08	Professional		$79.43	$158.49	$363.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $30.90 / $70.79	Professional	26	$18.20	$30.90	$70.79