Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,382.52 / $4,452.31 / $8,408.67	Facility		$3,382.52	$4,452.31	$8,408.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $621.09 / $838.50 / $1,021.55	Professional		$621.09	$838.50	$1,021.55
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $419.25 / $419.25 / $510.78	Professional	52	$419.25	$419.25	$510.78
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $628.88 / $628.88 / $766.16	Professional	54	$628.88	$628.88	$766.16
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $125.78 / $125.78 / $153.22	Professional	55	$125.78	$125.78	$153.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $555.59 / $696.49 / $1,040.90	Professional		$555.59	$696.49	$1,040.90
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $833.39 / $1,044.73 / $1,561.35	Professional	50	$833.39	$1,044.73	$1,561.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,553.94 / $1,553.94 / $1,553.94	Facility		$1,553.94	$1,553.94	$1,553.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $781.62 / $975.99 / $1,168.18	Professional		$781.62	$975.99	$1,168.18
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $664.88 / $769.27 / $1,180.09	Professional		$664.88	$769.27	$1,180.09
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,314.49 / $5,433.14 / $8,996.87	Facility		$3,314.49	$5,433.14	$8,996.87
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $651.24 / $838.50 / $1,995.89	Professional		$651.24	$838.50	$1,995.89
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $419.25 / $419.25 / $419.25	Professional	52	$419.25	$419.25	$419.25
Martin's Point Facility/Professional Professional Modifier 54 Low / Median / High Price $628.88 / $628.88 / $1,150.00	Professional	54	$628.88	$628.88	$1,150.00
Martin's Point Facility/Professional Professional Modifier 55 Low / Median / High Price $125.78 / $125.78 / $125.78	Professional	55	$125.78	$125.78	$125.78
United Facility/Professional Facility Modifier Low / Median / High Price $4,561.46 / $4,561.46 / $4,561.46	Facility		$4,561.46	$4,561.46	$4,561.46
United Facility/Professional Professional Modifier Low / Median / High Price $526.51 / $890.63 / $1,151.68	Professional		$526.51	$890.63	$1,151.68