Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.69 / $54.69 / $54.69	Facility	26	$54.69	$54.69	$54.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.64 / $244.36 / $582.88	Professional		$193.64	$244.36	$582.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.92 / $54.69 / $85.62	Professional	26	$41.92	$54.69	$85.62
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $120.59 / $133.85 / $268.99	Facility	26	$120.59	$133.85	$268.99
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $214.46 / $413.24 / $1,659.46	Professional		$214.46	$413.24	$1,659.46
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $49.89 / $95.14 / $337.70	Professional	26	$49.89	$95.14	$337.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.95 / $977.95 / $977.95	Professional		$977.95	$977.95	$977.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $149.88 / $149.88 / $149.88	Professional	26	$149.88	$149.88	$149.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.10 / $415.73 / $809.30	Professional		$240.10	$415.73	$809.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.48 / $83.47 / $156.41	Professional	26	$49.48	$83.47	$156.41
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $41.31 / $222.87 / $520.95	Professional		$41.31	$222.87	$520.95
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $398.13 / $785.91 / $991.58	Professional		$398.13	$785.91	$991.58
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $65.54 / $130.71 / $167.06	Professional	26	$65.54	$130.71	$167.06
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $122.35 / $268.99 / $268.99	Facility	26	$122.35	$268.99	$268.99
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $242.16 / $416.32 / $1,659.46	Professional		$242.16	$416.32	$1,659.46
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $55.58 / $95.14 / $337.70	Professional	26	$55.58	$95.14	$337.70
United Facility/Professional Professional Modifier Low / Median / High Price $205.26 / $353.94 / $760.36	Professional		$205.26	$353.94	$760.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.58 / $79.65 / $143.99	Professional	26	$55.58	$79.65	$143.99