Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,650.00 / $2,650.00 / $5,631.25	Facility		$2,650.00	$2,650.00	$5,631.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,146.50 / $2,146.50 / $2,146.50	Professional		$2,146.50	$2,146.50	$2,146.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $208.00 / $1,722.50	Professional		$208.00	$208.00	$1,722.50
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,650.00 / $2,650.00 / $2,676.50	Professional		$2,650.00	$2,650.00	$2,676.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,650.00 / $2,650.00 / $4,293.00	Facility		$2,650.00	$2,650.00	$4,293.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,146.50 / $2,146.50 / $2,650.00	Professional		$2,146.50	$2,146.50	$2,650.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,590.00 / $1,590.00 / $3,975.00	Professional		$1,590.00	$1,590.00	$3,975.00