Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.74 / $1,735.76 / $4,212.14	Facility		$96.74	$1,735.76	$4,212.14
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,963.43 / $2,303.21 / $2,487.17	Facility	50	$1,963.43	$2,303.21	$2,487.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.79 / $167.40 / $305.49	Professional		$54.79	$167.40	$305.49
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,379.17 / $2,379.17 / $2,379.17	Professional	50	$2,379.17	$2,379.17	$2,379.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.28 / $76.80 / $115.34	Professional		$65.28	$76.80	$115.34
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $97.92 / $115.20 / $173.01	Professional	50	$97.92	$115.20	$173.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.41 / $129.22 / $454.85	Professional		$73.41	$129.22	$454.85
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $72.55 / $220.77 / $463.22	Professional		$72.55	$220.77	$463.22
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $96.74 / $546.17 / $4,212.14	Facility		$96.74	$546.17	$4,212.14
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $593.39 / $1,963.43 / $2,487.17	Facility	50	$593.39	$1,963.43	$2,487.17
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $62.20 / $159.28 / $328.59	Professional		$62.20	$159.28	$328.59
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $2,379.17 / $2,379.17 / $2,379.17	Professional	50	$2,379.17	$2,379.17	$2,379.17
United Facility/Professional Professional Modifier Low / Median / High Price $138.31 / $230.38 / $308.55	Professional		$138.31	$230.38	$308.55