Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $115.00 / $115.00 / $213.90	Facility	26	$115.00	$115.00	$213.90
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $61.67 / $61.67 / $114.70	Facility	53	$61.67	$61.67	$114.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.49 / $346.81 / $567.24	Professional		$243.49	$346.81	$567.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.04 / $149.72 / $387.79	Professional	26	$104.04	$149.72	$387.79
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $232.05 / $340.62 / $961.28	Facility	26	$232.05	$340.62	$961.28
AllWays Health Partners Facility/Professional Facility Modifier 53 Low / Median / High Price $97.84 / $243.44 / $243.44	Facility	53	$97.84	$243.44	$243.44
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $250.35 / $504.68 / $1,920.39	Professional		$250.35	$504.68	$1,920.39
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $111.05 / $224.38 / $1,030.27	Professional	26	$111.05	$224.38	$1,030.27
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $141.85 / $195.31 / $369.21	Professional	26	$141.85	$195.31	$369.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.94 / $496.86 / $771.28	Professional		$293.94	$496.86	$771.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $124.93 / $200.66 / $336.44	Professional	26	$124.93	$200.66	$336.44
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $73.29 / $158.68 / $353.21	Professional		$73.29	$158.68	$353.21
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $285.49 / $563.55 / $758.83	Professional		$285.49	$563.55	$758.83
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $127.80 / $252.28 / $334.21	Professional	26	$127.80	$252.28	$334.21
Health New England Facility/Professional Professional Modifier Low / Median / High Price $162.96 / $218.95 / $316.61	Professional		$162.96	$218.95	$316.61
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $760.56 / $961.28 / $961.28	Facility	26	$760.56	$961.28	$961.28
Mass General Brigham Facility/Professional Facility Modifier 53 Low / Median / High Price $97.84 / $243.44 / $243.44	Facility	53	$97.84	$243.44	$243.44
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $285.76 / $522.53 / $1,920.39	Professional		$285.76	$522.53	$1,920.39
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $119.19 / $249.84 / $1,030.27	Professional	26	$119.19	$249.84	$1,030.27
Tufts Facility/Professional Professional Modifier Low / Median / High Price $256.60 / $286.62 / $343.01	Professional		$256.60	$286.62	$343.01
United Facility/Professional Professional Modifier Low / Median / High Price $261.18 / $406.95 / $1,043.31	Professional		$261.18	$406.95	$1,043.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $112.60 / $170.34 / $345.39	Professional	26	$112.60	$170.34	$345.39