Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.41 / $24.41 / $45.40	Facility	26	$24.41	$24.41	$45.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.85 / $144.54 / $193.77	Professional		$119.85	$144.54	$193.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.69 / $24.41 / $34.39	Professional	26	$22.69	$24.41	$34.39
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $51.10 / $56.72 / $108.44	Facility	26	$51.10	$56.72	$108.44
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $148.91 / $259.67 / $845.52	Professional		$148.91	$259.67	$845.52
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $23.05 / $42.02 / $147.91	Professional	26	$23.05	$42.02	$147.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.48 / $41.78 / $65.11	Professional	26	$25.48	$41.78	$65.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.65 / $247.11 / $431.48	Professional		$156.65	$247.11	$431.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.86 / $36.64 / $65.12	Professional	26	$24.86	$36.64	$65.12
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $16.61 / $98.72 / $231.27	Professional		$16.61	$98.72	$231.27
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $177.36 / $336.45 / $452.09	Professional		$177.36	$336.45	$452.09
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $27.85 / $54.53 / $72.83	Professional	26	$27.85	$54.53	$72.83
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $52.98 / $108.44 / $108.44	Facility	26	$52.98	$108.44	$108.44
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $157.71 / $274.91 / $845.52	Professional		$157.71	$274.91	$845.52
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $25.62 / $46.10 / $147.91	Professional	26	$25.62	$46.10	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $157.71 / $241.04 / $458.36	Professional		$157.71	$241.04	$458.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.62 / $36.20 / $69.36	Professional	26	$25.62	$36.20	$69.36