Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.22 / $279.94 / $578.52	Facility		$85.22	$279.94	$578.52
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.57 / $9.57 / $47.83	Facility	26	$9.57	$9.57	$47.83
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $27.39 / $97.54 / $582.01	Facility	TC	$27.39	$97.54	$582.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.41 / $36.96 / $80.48	Professional		$22.41	$36.96	$80.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $8.32 / $14.34	Professional	26	$7.33	$8.32	$14.34
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $54.60 / $89.29 / $113.29	Professional	50	$54.60	$89.29	$113.29
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.21 / $16.11 / $18.48	Professional	52	$11.21	$16.11	$18.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.32 / $26.12 / $48.73	Professional	TC	$21.32	$26.12	$48.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.38 / $116.55 / $191.28	Facility		$84.38	$116.55	$191.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $45.34 / $65.50	Professional		$33.04	$45.34	$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 / $68.01 / $98.25	Professional	50	$49.58	$68.01	$98.25
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.23 / $33.67 / $50.23	Professional	TC	$25.23	$33.67	$50.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.82 / $46.00 / $76.81	Professional		$31.82	$46.00	$76.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $12.82 / $18.73	Professional	26	$8.32	$12.82	$18.73
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $46.03 / $46.03 / $46.03	Professional	50	$46.03	$46.03	$46.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.25 / $34.74 / $59.02	Professional	TC	$23.25	$34.74	$59.02
Community Health Options Facility/Professional Facility Modifier Low / Median / High Price $676.00 / $676.00 / $676.00	Facility		$676.00	$676.00	$676.00
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $39.00 / $69.13	Professional		$26.00	$39.00	$69.13
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 / $38.69 / $69.79	Professional	TC	$32.15	$38.69	$69.79
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $49.89 / $269.24 / $497.17	Facility		$49.89	$269.24	$497.17
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $9.21 / $9.72 / $49.15	Facility	26	$9.21	$9.72	$49.15
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $27.39 / $102.59 / $605.10	Facility	TC	$27.39	$102.59	$605.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28.64 / $40.24 / $71.98	Professional		$28.64	$40.24	$71.98
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $7.61 / $9.57 / $17.69	Professional	26	$7.61	$9.57	$17.69
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $54.60 / $89.29 / $113.29	Professional	50	$54.60	$89.29	$113.29
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $11.34 / $18.48 / $28.15	Professional	52	$11.34	$18.48	$28.15
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $23.90 / $29.96 / $49.56	Professional	TC	$23.90	$29.96	$49.56
United Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $43.07 / $76.97	Professional		$33.20	$43.07	$76.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.66 / $12.12 / $19.92	Professional	26	$8.66	$12.12	$19.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.25 / $28.71 / $57.05	Professional	TC	$22.25	$28.71	$57.05