Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.05 / $55.05 / $55.05	Facility	26	$55.05	$55.05	$55.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.79 / $355.59 / $718.70	Professional		$275.79	$355.59	$718.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.55 / $59.53 / $178.00	Professional	26	$50.55	$59.53	$178.00
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $123.70 / $135.18 / $276.20	Facility	26	$123.70	$135.18	$276.20
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $263.61 / $627.59 / $2,222.29	Professional		$263.61	$627.59	$2,222.29
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $56.96 / $109.16 / $774.69	Professional	26	$56.96	$109.16	$774.69
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $76.38 / $107.20 / $142.46	Professional	26	$76.38	$107.20	$142.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.36 / $668.79 / $1,146.35	Professional		$301.36	$668.79	$1,146.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.89 / $105.59 / $190.97	Professional	26	$60.89	$105.59	$190.97
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $41.39 / $237.15 / $556.15	Professional		$41.39	$237.15	$556.15
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $426.80 / $807.55 / $1,062.99	Professional		$426.80	$807.55	$1,062.99
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $67.98 / $128.97 / $171.13	Professional	26	$67.98	$128.97	$171.13
Health New England Facility/Professional Professional Modifier Low / Median / High Price $87.51 / $161.00 / $426.70	Professional		$87.51	$161.00	$426.70
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $128.97 / $128.97 / $276.20	Facility	26	$128.97	$128.97	$276.20
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $285.48 / $664.51 / $2,222.29	Professional		$285.48	$664.51	$2,222.29
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $60.89 / $116.94 / $774.69	Professional	26	$60.89	$116.94	$774.69
United Facility/Professional Professional Modifier Low / Median / High Price $240.90 / $471.32 / $1,113.73	Professional		$240.90	$471.32	$1,113.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.19 / $85.25 / $190.66	Professional	26	$59.19	$85.25	$190.66