Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.04 / $19.04 / $19.04	Facility	26	$19.04	$19.04	$19.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $77.64 / $201.34	Professional		$57.66	$77.64	$201.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.42 / $22.09 / $63.88	Professional	26	$18.42	$22.09	$63.88
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $21.45 / $45.26 / $63.38	Facility	26	$21.45	$45.26	$63.38
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $56.48 / $132.50 / $516.91	Professional		$56.48	$132.50	$516.91
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $18.69 / $33.11 / $122.01	Professional	26	$18.69	$33.11	$122.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.29 / $150.16 / $507.47	Professional		$91.29	$150.16	$507.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.29 / $37.10 / $56.39	Professional	26	$26.29	$37.10	$56.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.56 / $126.67 / $247.99	Professional		$58.56	$126.67	$247.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.55 / $31.28 / $55.75	Professional	26	$19.55	$31.28	$55.75
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $47.21 / $106.12	Professional		$13.74	$47.21	$106.12
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $90.11 / $170.76 / $224.43	Professional		$90.11	$170.76	$224.43
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $23.35 / $44.18 / $58.16	Professional	26	$23.35	$44.18	$58.16
Health New England Facility/Professional Professional Modifier Low / Median / High Price $27.78 / $60.96 / $191.03	Professional		$27.78	$60.96	$191.03
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $44.37 / $44.37 / $100.00	Facility	26	$44.37	$44.37	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $38.63 / $132.50 / $516.91	Professional		$38.63	$132.50	$516.91
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $21.22 / $35.75 / $122.01	Professional	26	$21.22	$35.75	$122.01
United Facility/Professional Professional Modifier Low / Median / High Price $34.33 / $112.51 / $230.98	Professional		$34.33	$112.51	$230.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.20 / $30.77 / $55.19	Professional	26	$19.20	$30.77	$55.19