Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.40 / $1,621.81 / $5,248.07	Facility		$0.40	$1,621.81	$5,248.07
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,467.37 / $3,981.07 / $5,128.61	Facility	50	$3,467.37	$3,981.07	$5,128.61
Aetna Facility/Professional Facility Modifier AS Low / Median / High Price $0.40 / $0.40 / $0.40	Facility	AS	$0.40	$0.40	$0.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $302.00	Professional		$114.82	$162.18	$302.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $199.53 / $281.84	Professional		$123.03	$199.53	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $194.98 / $295.12	Professional		$162.18	$194.98	$295.12
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $199.53 / $295.12	Professional		$151.36	$199.53	$295.12
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $0.40 / $1,621.81 / $5,248.07	Facility		$0.40	$1,621.81	$5,248.07
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $3,467.37 / $3,981.07 / $5,128.61	Facility	50	$3,467.37	$3,981.07	$5,128.61
Martin's Point Facility/Professional Facility Modifier AS Low / Median / High Price $0.40 / $0.40 / $0.40	Facility	AS	$0.40	$0.40	$0.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $177.83 / $354.81	Professional		$131.83	$177.83	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $199.53 / $316.23	Professional		$151.36	$199.53	$316.23