Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.64 / $326.14 / $527.67	Facility		$76.64	$326.14	$527.67
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.77 / $10.77 / $46.04	Facility	26	$10.77	$10.77	$46.04
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $33.47 / $118.87 / $495.10	Facility	TC	$33.47	$118.87	$495.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.44 / $44.25 / $77.29	Professional		$31.44	$44.25	$77.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.56 / $9.78 / $15.94	Professional	26	$8.56	$9.78	$15.94
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $62.88 / $127.69 / $131.05	Professional	50	$62.88	$127.69	$131.05
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.84 / $18.59 / $22.13	Professional	52	$13.84	$18.59	$22.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.44 / $29.94 / $54.79	Professional	TC	$24.44	$29.94	$54.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.80 / $132.32 / $217.17	Facility		$95.80	$132.32	$217.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $54.14 / $78.20	Professional		$39.46	$54.14	$78.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.73 / $12.33 / $17.17	Professional	26	$8.73	$12.33	$17.17
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $59.19 / $81.20 / $117.30	Professional	50	$59.19	$81.20	$117.30
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.73 / $41.02 / $61.04	Professional	TC	$30.73	$41.02	$61.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.19 / $53.60 / $91.06	Professional		$37.19	$53.60	$91.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $14.44 / $21.10	Professional	26	$8.71	$14.44	$21.10
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $54.93 / $54.93 / $54.93	Professional	50	$54.93	$54.93	$54.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.12 / $41.80 / $71.02	Professional	TC	$26.12	$41.80	$71.02
Community Health Options Facility/Professional Facility Modifier Low / Median / High Price $404.00 / $404.00 / $404.00	Facility		$404.00	$404.00	$404.00
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $35.00 / $44.00	Professional		$29.00	$35.00	$44.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $50.29 / $60.51 / $109.17	Professional		$50.29	$60.51	$109.17
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $11.13 / $13.39 / $24.16	Professional	26	$11.13	$13.39	$24.16
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $39.15 / $47.12 / $85.01	Professional	TC	$39.15	$47.12	$85.01
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $291.49 / $671.24	Facility		$58.00	$291.49	$671.24
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $10.77 / $12.47 / $46.04	Facility	26	$10.77	$12.47	$46.04
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $33.47 / $118.87 / $498.80	Facility	TC	$33.47	$118.87	$498.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $36.84 / $47.56 / $78.54	Professional		$36.84	$47.56	$78.54
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $9.19 / $10.77 / $17.35	Professional	26	$9.19	$10.77	$17.35
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $62.88 / $127.69 / $131.05	Professional	50	$62.88	$127.69	$131.05
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $13.84 / $22.13 / $33.64	Professional	52	$13.84	$22.13	$33.64
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $27.39 / $36.36 / $60.41	Professional	TC	$27.39	$36.36	$60.41
United Facility/Professional Professional Modifier Low / Median / High Price $39.70 / $58.10 / $83.91	Professional		$39.70	$58.10	$83.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.74 / $13.49 / $22.45	Professional	26	$9.74	$13.49	$22.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.96 / $38.24 / $74.42	Professional	TC	$29.96	$38.24	$74.42