Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $9,332.54 / $19,952.62	Facility		$6,165.95	$9,332.54	$19,952.62
Aetna Facility/Professional Facility Modifier AS Low / Median / High Price $33.88 / $33.88 / $1,584.89	Facility	AS	$33.88	$33.88	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $851.14 / $2,089.30	Professional		$630.96	$851.14	$2,089.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $977.24 / $1,479.11	Professional		$575.44	$977.24	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,548.82	Facility		$1,122.02	$1,122.02	$1,548.82
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility	22	$1,348.96	$1,348.96	$1,348.96
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $912.01 / $912.01 / $912.01	Facility	52	$912.01	$912.01	$912.01
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $223.87 / $223.87 / $223.87	Facility	53	$223.87	$223.87	$223.87
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $112.20 / $112.20 / $112.20	Facility	AS	$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $891.25 / $1,548.82	Professional		$562.34	$891.25	$1,548.82
Community Health Options Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $10,715.19 / $10,715.19	Facility		$10,715.19	$10,715.19	$10,715.19
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,148.15 / $1,995.26	Professional		$758.58	$1,148.15	$1,995.26
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $9,332.54 / $19,498.45	Facility		$5,495.41	$9,332.54	$19,498.45
Martin's Point Facility/Professional Facility Modifier AS Low / Median / High Price $33.88 / $33.88 / $1,584.89	Facility	AS	$33.88	$33.88	$1,584.89
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $954.99 / $1,949.84	Professional		$660.69	$954.99	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $912.01 / $1,479.11	Professional		$645.65	$912.01	$1,479.11