Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.73 / $64.73 / $121.33	Facility	26	$64.73	$64.73	$121.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.95 / $126.42 / $322.39	Professional		$103.95	$126.42	$322.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.11 / $69.42 / $191.75	Professional	26	$59.11	$69.42	$191.75
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $144.12 / $159.94 / $321.77	Facility	26	$144.12	$159.94	$321.77
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $110.08 / $202.55 / $728.40	Professional		$110.08	$202.55	$728.40
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $60.36 / $119.25 / $414.32	Professional	26	$60.36	$119.25	$414.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.74 / $218.36 / $310.35	Professional		$132.74	$218.36	$310.35
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $82.57 / $124.80 / $174.56	Professional	26	$82.57	$124.80	$174.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.99 / $170.36 / $366.93	Professional		$93.99	$170.36	$366.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.48 / $123.19 / $222.56	Professional	26	$71.48	$123.19	$222.56
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $73.56 / $161.02	Professional		$34.72	$73.56	$161.02
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $115.10 / $255.76 / $352.83	Professional		$115.10	$255.76	$352.83
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $79.05 / $149.96 / $198.97	Professional	26	$79.05	$149.96	$198.97
Health New England Facility/Professional Professional Modifier Low / Median / High Price $101.66 / $195.00 / $373.48	Professional		$101.66	$195.00	$373.48
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $149.97 / $149.97 / $321.77	Facility	26	$149.97	$149.97	$321.77
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $135.97 / $220.32 / $728.40	Professional		$135.97	$220.32	$728.40
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $71.68 / $128.06 / $414.32	Professional	26	$71.68	$128.06	$414.32
United Facility/Professional Professional Modifier Low / Median / High Price $126.10 / $176.26 / $350.21	Professional		$126.10	$176.26	$350.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.59 / $100.68 / $253.83	Professional	26	$68.59	$100.68	$253.83