Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,371.28 / $9,562.04 / $22,821.30	Facility		$6,371.28	$9,562.04	$22,821.30
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $16,373.45 / $16,373.45 / $16,373.45	Facility	22	$16,373.45	$16,373.45	$16,373.45
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $9,648.60 / $14,758.01 / $15,214.16	Facility	50	$9,648.60	$14,758.01	$15,214.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,239.27 / $1,490.92 / $2,013.19	Professional		$1,239.27	$1,490.92	$2,013.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,342.04 / $1,736.76 / $2,457.07	Professional		$1,342.04	$1,736.76	$2,457.07
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $187.88 / $243.14 / $343.98	Professional	AS	$187.88	$243.14	$343.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,303.73 / $1,953.29 / $2,753.17	Professional		$1,303.73	$1,953.29	$2,753.17
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,604.69 / $1,856.63 / $2,848.16	Professional		$1,604.69	$1,856.63	$2,848.16
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $7,165.85 / $18,079.04 / $29,092.19	Facility		$7,165.85	$18,079.04	$29,092.19
Martin's Point Facility/Professional Facility Modifier 22 Low / Median / High Price $16,373.45 / $16,373.45 / $16,373.45	Facility	22	$16,373.45	$16,373.45	$16,373.45
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $9,648.60 / $13,045.34 / $15,214.16	Facility	50	$9,648.60	$13,045.34	$15,214.16
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,317.95 / $1,707.27 / $2,049.09	Professional		$1,317.95	$1,707.27	$2,049.09
United Facility/Professional Professional Modifier Low / Median / High Price $1,297.54 / $1,894.31 / $2,449.54	Professional		$1,297.54	$1,894.31	$2,449.54