Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $275.42 / $676.08	Facility		$75.86	$275.42	$676.08
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.47 / $12.59 / $45.71	Facility	26	$10.47	$12.59	$45.71
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $37.15 / $128.82 / $501.19	Facility	TC	$37.15	$128.82	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $50.12 / $114.82	Professional		$18.62	$50.12	$114.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.72 / $28.84	Professional	26	$7.94	$10.72	$28.84
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $38.02 / $102.33 / $204.17	Professional	50	$38.02	$102.33	$204.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $39.81 / $85.11	Professional	TC	$24.55	$39.81	$85.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $131.83 / $131.83	Facility		$104.71	$131.83	$131.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $52.48 / $75.86	Professional		$34.67	$52.48	$75.86
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $11.75 / $16.98	Professional	26	$7.41	$11.75	$16.98
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $52.48 / $77.62 / $114.82	Professional	50	$52.48	$77.62	$114.82
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $39.81 / $57.54	Professional	TC	$27.54	$39.81	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $52.48 / $93.33	Professional		$32.36	$52.48	$93.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $13.18 / $22.39	Professional	26	$8.71	$13.18	$22.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $39.81 / $72.44	Professional	TC	$23.44	$39.81	$72.44
Community Health Options Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $34.67 / $43.65	Professional		$28.84	$34.67	$43.65
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $64.57 / $120.23	Professional		$51.29	$64.57	$120.23
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $14.13 / $26.92	Professional	26	$11.22	$14.13	$26.92
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $50.12 / $95.50	Professional	TC	$39.81	$50.12	$95.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $295.12 / $691.83	Facility		$58.88	$295.12	$691.83
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $10.47 / $11.75 / $45.71	Facility	26	$10.47	$11.75	$45.71
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $33.11 / $128.82 / $489.78	Facility	TC	$33.11	$128.82	$489.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $48.98 / $104.71	Professional		$18.62	$48.98	$104.71
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $12.30 / $28.18	Professional	26	$8.71	$12.30	$28.18
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $60.26 / $102.33 / $204.17	Professional	50	$60.26	$102.33	$204.17
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $40.74 / $85.11	Professional	TC	$27.54	$40.74	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $53.70 / $102.33	Professional		$36.31	$53.70	$102.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $13.49 / $23.99	Professional	26	$9.33	$13.49	$23.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $40.74 / $72.44	Professional	TC	$26.92	$40.74	$72.44