Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.86 / $21.86 / $40.65	Facility	26	$21.86	$21.86	$40.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.48 / $49.99 / $126.00	Professional		$31.48	$49.99	$126.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.82 / $22.85 / $71.40	Professional	26	$19.82	$22.85	$71.40
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $22.68 / $51.44 / $106.12	Facility	26	$22.68	$51.44	$106.12
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $41.68 / $70.15 / $352.79	Professional		$41.68	$70.15	$352.79
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $20.63 / $32.35 / $140.68	Professional	26	$20.63	$32.35	$140.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.60 / $40.34 / $54.65	Professional	26	$24.60	$40.34	$54.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.30 / $24.30 / $24.30	Facility	26	$24.30	$24.30	$24.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.81 / $84.78 / $194.26	Professional		$47.81	$84.78	$194.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.36 / $39.36 / $75.28	Professional	26	$23.36	$39.36	$75.28
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $33.40 / $72.89	Professional		$14.87	$33.40	$72.89
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $53.62 / $110.58 / $164.96	Professional		$53.62	$110.58	$164.96
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $22.83 / $46.70 / $68.54	Professional	26	$22.83	$46.70	$68.54
Health New England Facility/Professional Professional Modifier Low / Median / High Price $74.67 / $74.67 / $74.67	Professional		$74.67	$74.67	$74.67
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $50.69 / $106.12 / $106.12	Facility	26	$50.69	$106.12	$106.12
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $43.56 / $77.70 / $352.79	Professional		$43.56	$77.70	$352.79
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $23.96 / $36.54 / $140.68	Professional	26	$23.96	$36.54	$140.68
United Facility/Professional Professional Modifier Low / Median / High Price $43.10 / $64.12 / $138.69	Professional		$43.10	$64.12	$138.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.90 / $30.91 / $64.17	Professional	26	$21.90	$30.91	$64.17