Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.05 / $19.05 / $29.51	Facility	26	$19.05	$19.05	$29.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $79.43 / $173.78	Professional		$61.66	$79.43	$173.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $23.99 / $63.10	Professional	26	$18.20	$23.99	$63.10
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $21.38 / $46.77 / $123.03	Facility	26	$21.38	$46.77	$123.03
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $104.71 / $489.78	Professional		$56.23	$104.71	$489.78
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $29.51 / $123.03	Professional	26	$16.60	$29.51	$123.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $190.55 / $190.55	Professional		$125.89	$190.55	$190.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $38.02 / $50.12	Professional	26	$27.54	$38.02	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $112.20 / $229.09	Professional		$34.67	$112.20	$229.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $29.51 / $56.23	Professional	26	$18.62	$29.51	$56.23
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $47.86 / $112.20	Professional		$14.45	$47.86	$112.20
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $138.04 / $204.17	Professional		$77.62	$138.04	$204.17
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $36.31 / $52.48	Professional	26	$20.42	$36.31	$52.48
Health New England Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $154.88 / $154.88	Professional		$144.54	$154.88	$154.88
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $21.38 / $46.77 / $123.03	Facility	26	$21.38	$46.77	$123.03
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $104.71 / $489.78	Professional		$56.23	$104.71	$489.78
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $29.51 / $123.03	Professional	26	$16.60	$29.51	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $104.71 / $213.80	Professional		$38.90	$104.71	$213.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $29.51 / $54.95	Professional	26	$18.62	$29.51	$54.95