Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.49 / $303.33 / $588.28	Facility		$50.49	$303.33	$588.28
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.97 / $9.97 / $11.66	Facility	26	$9.97	$9.97	$11.66
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $24.96 / $50.49 / $328.80	Facility	TC	$24.96	$50.49	$328.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.08 / $34.95 / $61.97	Professional		$24.08	$34.95	$61.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $8.53 / $13.86	Professional	26	$7.33	$8.53	$13.86
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $79.14 / $79.14 / $119.13	Professional	50	$79.14	$79.14	$119.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.51 / $26.34 / $45.59	Professional	TC	$23.51	$26.34	$45.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.12 / $138.29 / $226.97	Facility		$100.12	$138.29	$226.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.77 / $43.58 / $62.94	Professional		$31.77	$43.58	$62.94
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.09 / $11.41 / $15.89	Professional	26	$8.09	$11.41	$15.89
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $47.65 / $65.37 / $94.41	Professional	50	$47.65	$65.37	$94.41
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.61 / $31.51 / $47.04	Professional	TC	$23.61	$31.51	$47.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $48.00 / $76.12	Professional		$32.15	$48.00	$76.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $13.36 / $19.52	Professional	26	$8.32	$13.36	$19.52
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $43.94 / $43.94 / $43.94	Professional	50	$43.94	$43.94	$43.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.83 / $34.19 / $56.60	Professional	TC	$23.83	$34.19	$56.60
Community Health Options Facility/Professional Facility Modifier Low / Median / High Price $248.35 / $248.35 / $248.35	Facility		$248.35	$248.35	$248.35
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $48.61 / $87.70	Professional		$40.40	$48.61	$87.70
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $10.31 / $12.40 / $22.38	Professional	26	$10.31	$12.40	$22.38
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $34.81 / $46.82 / $69.40	Professional	TC	$34.81	$46.82	$69.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $50.49 / $279.08 / $418.86	Facility		$50.49	$279.08	$418.86
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $9.59 / $9.97 / $47.85	Facility	26	$9.59	$9.97	$47.85
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $24.96 / $91.25 / $353.68	Facility	TC	$24.96	$91.25	$353.68
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $38.13 / $68.37	Professional		$30.82	$38.13	$68.37
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $7.78 / $9.97 / $17.50	Professional	26	$7.78	$9.97	$17.50
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $79.14 / $79.14 / $119.13	Professional	50	$79.14	$79.14	$119.13
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $24.96 / $28.53 / $48.30	Professional	TC	$24.96	$28.53	$48.30
United Facility/Professional Professional Modifier Low / Median / High Price $31.40 / $41.91 / $72.75	Professional		$31.40	$41.91	$72.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.67 / $13.79 / $20.07	Professional	26	$8.67	$13.79	$20.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.27 / $30.29 / $51.97	Professional	TC	$20.27	$30.29	$51.97