Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.09 / $23.09 / $23.09	Facility	26	$23.09	$23.09	$23.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.80 / $76.98 / $103.66	Professional		$60.80	$76.98	$103.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.14 / $23.09 / $31.89	Professional	26	$20.14	$23.09	$31.89
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $22.47 / $51.79 / $103.36	Facility	26	$22.47	$51.79	$103.36
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $115.41 / $437.32	Professional		$74.45	$115.41	$437.32
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $22.07 / $33.70 / $141.18	Professional	26	$22.07	$33.70	$141.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.06 / $112.41 / $207.57	Professional		$78.06	$112.41	$207.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.65 / $33.56 / $66.27	Professional	26	$24.65	$33.56	$66.27
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $42.06 / $99.63	Professional		$15.11	$42.06	$99.63
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $80.28 / $146.27 / $199.95	Professional		$80.28	$146.27	$199.95
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $25.80 / $46.96 / $64.26	Professional	26	$25.80	$46.96	$64.26
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $51.03 / $103.36 / $103.36	Facility	26	$51.03	$103.36	$103.36
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $77.95 / $122.33 / $437.32	Professional		$77.95	$122.33	$437.32
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $23.93 / $37.01 / $141.18	Professional	26	$23.93	$37.01	$141.18
United Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $107.82 / $205.00	Professional		$75.59	$107.82	$205.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.47 / $31.16 / $57.79	Professional	26	$22.47	$31.16	$57.79