Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,859.44 / $8,596.75 / $15,457.98	Facility		$3,859.44	$8,596.75	$15,457.98
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $14,029.08 / $14,029.08 / $14,029.08	Facility	22	$14,029.08	$14,029.08	$14,029.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $931.51 / $1,121.67 / $1,692.00	Professional		$931.51	$1,121.67	$1,692.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,119.30 / $1,448.51 / $2,051.26	Professional		$1,119.30	$1,448.51	$2,051.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,090.66 / $1,619.94 / $2,303.44	Professional		$1,090.66	$1,619.94	$2,303.44
Community Health Options Facility/Professional Facility Modifier Low / Median / High Price $4,027.20 / $4,027.20 / $4,027.20	Facility		$4,027.20	$4,027.20	$4,027.20
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,338.41 / $1,548.54 / $2,375.54	Professional		$1,338.41	$1,548.54	$2,375.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,535.03 / $8,719.12 / $23,784.91	Facility		$2,535.03	$8,719.12	$23,784.91
Martin's Point Facility/Professional Facility Modifier 22 Low / Median / High Price $14,029.08 / $14,029.08 / $14,029.08	Facility	22	$14,029.08	$14,029.08	$14,029.08
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $989.35 / $1,349.95 / $1,992.80	Professional		$989.35	$1,349.95	$1,992.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,025.96 / $1,478.42 / $1,911.75	Professional		$1,025.96	$1,478.42	$1,911.75