Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $526.77 / $1,708.20 / $2,482.21	Facility		$526.77	$1,708.20	$2,482.21
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.44 / $93.87 / $1,389.33	Facility	26	$82.44	$93.87	$1,389.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.49 / $239.34 / $448.81	Professional		$219.49	$239.34	$448.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.82 / $71.51 / $114.07	Professional	26	$61.82	$71.51	$114.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $151.44 / $175.12 / $220.41	Professional	TC	$151.44	$175.12	$220.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.27 / $295.14 / $501.37	Professional		$210.27	$295.14	$501.37
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $71.65 / $99.54 / $174.32	Professional	26	$71.65	$99.54	$174.32
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $137.30 / $190.74 / $327.05	Professional	TC	$137.30	$190.74	$327.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.88 / $316.41 / $442.72	Professional		$247.88	$316.41	$442.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.68 / $107.73 / $151.35	Professional	26	$82.68	$107.73	$151.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $159.99 / $208.83 / $291.37	Professional	TC	$159.99	$208.83	$291.37
Community Health Options Facility/Professional Facility Modifier Low / Median / High Price $2,416.40 / $2,416.40 / $3,344.50	Facility		$2,416.40	$2,416.40	$3,344.50
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $239.49 / $286.93 / $425.07	Professional		$239.49	$286.93	$425.07
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $83.26 / $99.75 / $147.78	Professional	26	$83.26	$99.75	$147.78
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $156.22 / $187.17 / $306.27	Professional	TC	$156.22	$187.17	$306.27
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $518.19 / $1,613.30 / $2,593.91	Facility		$518.19	$1,613.30	$2,593.91
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $78.11 / $113.03 / $1,483.82	Facility	26	$78.11	$113.03	$1,483.82
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $227.46 / $236.38 / $420.00	Professional		$227.46	$236.38	$420.00
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $63.86 / $82.68 / $111.29	Professional	26	$63.86	$82.68	$111.29
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $150.75 / $165.27 / $220.41	Professional	TC	$150.75	$165.27	$220.41
United Facility/Professional Professional Modifier Low / Median / High Price $210.94 / $310.98 / $402.13	Professional		$210.94	$310.98	$402.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.73 / $99.98 / $136.41	Professional	26	$72.73	$99.98	$136.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $136.41 / $220.37 / $277.27	Professional	TC	$136.41	$220.37	$277.27