Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $237.56 / $237.57 / $426.21	Facility	26	$237.56	$237.57	$426.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $808.70 / $1,096.89 / $2,293.39	Professional		$808.70	$1,096.89	$2,293.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $235.32 / $347.51 / $959.22	Professional	26	$235.32	$347.51	$959.22
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $506.08 / $561.69 / $1,718.00	Facility	26	$506.08	$561.69	$1,718.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $745.25 / $1,549.29 / $6,012.88	Professional		$745.25	$1,549.29	$6,012.88
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $210.40 / $467.78 / $1,456.11	Professional	26	$210.40	$467.78	$1,456.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,639.49 / $2,109.78 / $3,347.43	Professional		$1,639.49	$2,109.78	$3,347.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $424.98 / $490.78 / $778.68	Professional	26	$424.98	$490.78	$778.68
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $169.19 / $583.83 / $1,331.04	Professional		$169.19	$583.83	$1,331.04
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,058.41 / $2,116.82 / $3,439.83	Professional		$1,058.41	$2,116.82	$3,439.83
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $285.08 / $540.79 / $717.55	Professional	26	$285.08	$540.79	$717.55
Health New England Facility/Professional Professional Modifier Low / Median / High Price $355.65 / $510.11 / $692.06	Professional		$355.65	$510.11	$692.06
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $1,718.00 / $1,718.00 / $2,092.32	Facility	26	$1,718.00	$1,718.00	$2,092.32
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,203.44 / $1,917.25 / $6,012.88	Professional		$1,203.44	$1,917.25	$6,012.88
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $303.50 / $497.44 / $1,456.11	Professional	26	$303.50	$497.44	$1,456.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,135.28 / $1,447.31 / $3,111.69	Professional		$1,135.28	$1,447.31	$3,111.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $292.23 / $393.32 / $913.34	Professional	26	$292.23	$393.32	$913.34