Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $364.03 / $364.03 / $364.03	Facility	26	$364.03	$364.03	$364.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,150.24 / $1,558.08 / $3,450.92	Professional		$1,150.24	$1,558.08	$3,450.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $361.22 / $538.91 / $1,853.00	Professional	26	$361.22	$538.91	$1,853.00
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $792.97 / $880.10 / $2,693.76	Facility	26	$792.97	$880.10	$2,693.76
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,038.15 / $2,155.75 / $8,224.96	Professional		$1,038.15	$2,155.75	$8,224.96
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $328.93 / $720.72 / $2,275.66	Professional	26	$328.93	$720.72	$2,275.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.69 / $2,884.13 / $4,576.03	Professional		$2,344.69	$2,884.13	$4,576.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $665.92 / $769.04 / $1,220.19	Professional	26	$665.92	$769.04	$1,220.19
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $265.08 / $808.91 / $1,827.54	Professional		$265.08	$808.91	$1,827.54
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,456.54 / $2,904.92 / $4,604.31	Professional		$1,456.54	$2,904.92	$4,604.31
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $446.87 / $847.71 / $1,124.77	Professional	26	$446.87	$847.71	$1,124.77
Health New England Facility/Professional Professional Modifier Low / Median / High Price $570.11 / $979.26 / $1,950.00	Professional		$570.11	$979.26	$1,950.00
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $2,693.76 / $2,693.76 / $3,278.00	Facility	26	$2,693.76	$2,693.76	$3,278.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,692.06 / $2,655.24 / $8,224.96	Professional		$1,692.06	$2,655.24	$8,224.96
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $474.44 / $778.69 / $2,275.66	Professional	26	$474.44	$778.69	$2,275.66
United Facility/Professional Professional Modifier Low / Median / High Price $1,602.19 / $1,996.82 / $4,355.58	Professional		$1,602.19	$1,996.82	$4,355.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $447.37 / $549.49 / $1,490.61	Professional	26	$447.37	$549.49	$1,490.61