Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $257.04 / $524.81	Facility		$77.62	$257.04	$524.81
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.12 / $10.00 / $48.98	Facility	26	$9.12	$10.00	$48.98
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $30.20 / $102.33 / $562.34	Facility	TC	$30.20	$102.33	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $44.67 / $95.50	Professional		$13.80	$44.67	$95.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.72 / $37.15	Professional	26	$7.08	$10.72	$37.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $52.48 / $89.13 / $194.98	Professional	50	$52.48	$89.13	$194.98
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $95.50 / $95.50 / $95.50	Professional	52	$95.50	$95.50	$95.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $38.90 / $85.11	Professional	TC	$20.89	$38.90	$85.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $117.49 / $117.49	Facility		$93.33	$117.49	$117.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $43.65 / $63.10	Professional		$29.51	$43.65	$63.10
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $10.47 / $15.14	Professional	26	$6.61	$10.47	$15.14
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $44.67 / $66.07 / $95.50	Professional	50	$44.67	$66.07	$95.50
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $32.36 / $46.77	Professional	TC	$22.91	$32.36	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $45.71 / $77.62	Professional		$29.51	$45.71	$77.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $12.02 / $19.95	Professional	26	$8.32	$12.02	$19.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $33.11 / $58.88	Professional	TC	$20.89	$33.11	$58.88
Community Health Options Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $39.81 / $69.18	Professional		$25.70	$39.81	$69.18
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $53.70 / $102.33	Professional		$40.74	$53.70	$102.33
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $12.30 / $22.91	Professional	26	$9.77	$12.30	$22.91
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $39.81 / $77.62	Professional	TC	$31.62	$39.81	$77.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $269.15 / $524.81	Facility		$50.12	$269.15	$524.81
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $9.12 / $10.00 / $48.98	Facility	26	$9.12	$10.00	$48.98
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $27.54 / $102.33 / $602.56	Facility	TC	$27.54	$102.33	$602.56
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $41.69 / $89.13	Professional		$15.85	$41.69	$89.13
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $11.22 / $26.92	Professional	26	$7.59	$11.22	$26.92
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $50.12 / $89.13 / $194.98	Professional	50	$50.12	$89.13	$194.98
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $34.67 / $72.44	Professional	TC	$22.91	$34.67	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $43.65 / $85.11	Professional		$30.90	$43.65	$85.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $12.02 / $21.38	Professional	26	$8.32	$12.02	$21.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $32.36 / $57.54	Professional	TC	$22.39	$32.36	$57.54