Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.49 / $289.60 / $493.14	Facility		$50.49	$289.60	$493.14
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.57 / $9.57 / $11.17	Facility	26	$9.57	$9.57	$11.17
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $28.21 / $105.49 / $756.74	Facility	TC	$28.21	$105.49	$756.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.12 / $33.65 / $61.09	Professional		$26.12	$33.65	$61.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.95 / $9.10 / $14.97	Professional	26	$7.95	$9.10	$14.97
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $52.24 / $52.24 / $70.38	Professional	50	$52.24	$52.24	$70.38
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.06 / $15.46 / $18.89	Professional	52	$12.06	$15.46	$18.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.46 / $23.82 / $48.73	Professional	TC	$19.46	$23.82	$48.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.77 / $104.67 / $171.78	Facility		$75.77	$104.67	$171.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $45.10 / $65.50	Professional		$33.04	$45.10	$65.50
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $10.96 / $15.26	Professional	26	$7.76	$10.96	$15.26
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $49.58 / $67.65 / $98.25	Professional	50	$49.58	$67.65	$98.25
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.31 / $33.19 / $50.23	Professional	TC	$25.31	$33.19	$50.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.74 / $45.42 / $76.05	Professional		$32.74	$45.42	$76.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $12.82 / $18.72	Professional	26	$8.32	$12.82	$18.72
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $47.61 / $47.61 / $47.61	Professional	50	$47.61	$47.61	$47.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.94 / $34.29 / $58.27	Professional	TC	$22.94	$34.29	$58.27
Community Health Options Facility/Professional Facility Modifier Low / Median / High Price $202.00 / $202.00 / $202.00	Facility		$202.00	$202.00	$202.00
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $39.00 / $39.00	Professional		$39.00	$39.00	$39.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $42.04 / $50.60 / $91.26	Professional		$42.04	$50.60	$91.26
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.89 / $11.90 / $21.47	Professional	26	$9.89	$11.90	$21.47
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $32.15 / $39.22 / $74.15	Professional	TC	$32.15	$39.22	$74.15
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $50.49 / $256.20 / $449.16	Facility		$50.49	$256.20	$449.16
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $9.57 / $9.68 / $11.17	Facility	26	$9.57	$9.68	$11.17
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $29.83 / $97.54 / $444.70	Facility	TC	$29.83	$97.54	$444.70
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $27.41 / $38.57 / $68.30	Professional		$27.41	$38.57	$68.30
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $8.19 / $9.57 / $17.62	Professional	26	$8.19	$9.57	$17.62
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $52.24 / $52.24 / $70.38	Professional	50	$52.24	$52.24	$70.38
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $12.06 / $18.89 / $28.12	Professional	52	$12.06	$18.89	$28.12
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $21.81 / $29.96 / $49.56	Professional	TC	$21.81	$29.96	$49.56
United Facility/Professional Professional Modifier Low / Median / High Price $31.21 / $42.04 / $83.99	Professional		$31.21	$42.04	$83.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.66 / $11.98 / $19.91	Professional	26	$8.66	$11.98	$19.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.90 / $30.92 / $58.73	Professional	TC	$22.90	$30.92	$58.73