Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.96 / $16.96 / $75.64	Facility		$16.96	$16.96	$75.64
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.96 / $16.96 / $71.20	Facility	26	$16.96	$16.96	$71.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.96 / $17.85 / $77.50	Professional		$16.96	$17.85	$77.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.96 / $47.90 / $275.80	Professional	26	$16.96	$47.90	$275.80
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $22.85 / $71.34 / $244.58	Facility		$22.85	$71.34	$244.58
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $47.44 / $49.83 / $227.00	Facility	26	$47.44	$49.83	$227.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $17.53 / $53.47 / $302.45	Professional		$17.53	$53.47	$302.45
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $17.52 / $49.91 / $283.52	Professional	26	$17.52	$49.91	$283.52
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.11 / $86.43 / $116.72	Professional	26	$58.11	$86.43	$116.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.52 / $25.92 / $52.54	Facility		$2.52	$25.92	$52.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $43.45 / $43.45	Professional		$12.08	$43.45	$43.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.47 / $40.47 / $40.47	Professional	26	$40.47	$40.47	$40.47
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $3.99 / $53.00 / $8,090.00	Facility		$3.99	$53.00	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $54.32 / $58.33	Professional		$4.01	$54.32	$58.33
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $59.80 / $112.12 / $151.77	Professional		$59.80	$112.12	$151.77
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $55.71 / $104.46 / $141.38	Professional	26	$55.71	$104.46	$141.38
Health New England Facility/Professional Professional Modifier Low / Median / High Price $57.43 / $115.81 / $145.71	Professional		$57.43	$115.81	$145.71
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $93.54 / $244.58 / $244.58	Facility		$93.54	$244.58	$244.58
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $87.68 / $227.00 / $227.00	Facility	26	$87.68	$227.00	$227.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $36.21 / $302.45	Professional		$19.73	$36.21	$302.45
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $19.62 / $46.39 / $283.52	Professional	26	$19.62	$46.39	$283.52
United Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $29.19 / $122.98	Professional		$19.14	$29.19	$122.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.13 / $36.02 / $128.93	Professional	26	$19.13	$36.02	$128.93