Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.33 / $258.79 / $478.20	Facility		$88.33	$258.79	$478.20
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.38 / $10.38 / $12.00	Facility	26	$10.38	$10.38	$12.00
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $28.62 / $74.84 / $236.24	Facility	TC	$28.62	$74.84	$236.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.04 / $35.25 / $60.16	Professional		$28.04	$35.25	$60.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.06 / $9.59 / $15.64	Professional	26	$8.06	$9.59	$15.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.96 / $24.79 / $46.67	Professional	TC	$20.96	$24.79	$46.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $46.19 / $68.04	Professional		$34.61	$46.19	$68.04
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.41 / $11.70 / $16.52	Professional	26	$8.41	$11.70	$16.52
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $51.91 / $69.29 / $102.06	Professional	50	$51.91	$69.29	$102.06
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.20 / $33.40 / $51.49	Professional	TC	$26.20	$33.40	$51.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.18 / $48.05 / $78.31	Professional		$37.18	$48.05	$78.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.19 / $13.90 / $20.30	Professional	26	$10.19	$13.90	$20.30
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $49.18 / $49.18 / $49.18	Professional	50	$49.18	$49.18	$49.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.45 / $34.74 / $59.02	Professional	TC	$24.45	$34.74	$59.02
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $51.75 / $95.75	Professional		$44.11	$51.75	$95.75
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $12.58 / $24.73	Professional	26	$10.72	$12.58	$24.73
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $33.39 / $40.00 / $77.01	Professional	TC	$33.39	$40.00	$77.01
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $88.33 / $251.94 / $427.32	Facility		$88.33	$251.94	$427.32
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $10.38 / $10.52 / $12.00	Facility	26	$10.38	$10.52	$12.00
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $30.99 / $101.32 / $279.94	Facility	TC	$30.99	$101.32	$279.94
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $29.42 / $39.00 / $71.54	Professional		$29.42	$39.00	$71.54
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $8.46 / $10.38 / $19.16	Professional	26	$8.46	$10.38	$19.16
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $20.96 / $28.62 / $51.47	Professional	TC	$20.96	$28.62	$51.47
United Facility/Professional Professional Modifier Low / Median / High Price $34.90 / $45.70 / $86.70	Professional		$34.90	$45.70	$86.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $13.49 / $21.62	Professional	26	$9.02	$13.49	$21.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.62 / $32.26 / $59.57	Professional	TC	$23.62	$32.26	$59.57