Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.12 / $45.12 / $45.12	Facility	26	$45.12	$45.12	$45.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $66.12 / $88.87	Professional		$56.07	$66.12	$88.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $45.12 / $62.23	Professional	26	$38.90	$45.12	$62.23
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $104.07 / $104.07 / $222.92	Facility	26	$104.07	$104.07	$222.92
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $69.06 / $113.41 / $404.18	Professional		$69.06	$113.41	$404.18
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $47.78 / $82.74 / $278.89	Professional	26	$47.78	$82.74	$278.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.59 / $51.59 / $123.92	Professional	26	$51.59	$51.59	$123.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.76 / $118.81 / $217.67	Professional		$68.76	$118.81	$217.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.26 / $82.44 / $144.72	Professional	26	$47.26	$82.44	$144.72
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $15.66 / $43.99 / $97.92	Professional		$15.66	$43.99	$97.92
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $54.48 / $145.94 / $206.44	Professional		$54.48	$145.94	$206.44
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $54.48 / $106.67 / $138.87	Professional	26	$54.48	$106.67	$138.87
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $104.07 / $104.07 / $222.92	Facility	26	$104.07	$104.07	$222.92
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $69.06 / $115.54 / $404.18	Professional		$69.06	$115.54	$404.18
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $47.78 / $82.74 / $278.89	Professional	26	$47.78	$82.74	$278.89
United Facility/Professional Professional Modifier Low / Median / High Price $67.30 / $97.32 / $197.90	Professional		$67.30	$97.32	$197.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.62 / $67.44 / $124.91	Professional	26	$47.62	$67.44	$124.91