| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Harvard Pilgrim
| Professional | $176.19 | $176.19 | $177.95 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Harvard Pilgrim
| Professional | $176.19 | $176.19 | $177.95 |