Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.86 / $1,574.27 / $1,574.27	Facility		$265.86	$1,574.27	$1,574.27
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.52 / $40.52 / $40.52	Facility	26	$40.52	$40.52	$40.52
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $225.33 / $225.33 / $857.69	Facility	TC	$225.33	$225.33	$857.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.49 / $229.80 / $401.81	Professional		$178.49	$229.80	$401.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.96 / $34.04 / $56.35	Professional	26	$26.96	$34.04	$56.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $161.62 / $178.58 / $345.46	Professional	TC	$161.62	$178.58	$345.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.01 / $259.83 / $458.44	Professional		$229.01	$259.83	$458.44
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.58 / $40.36 / $70.58	Professional	26	$35.58	$40.36	$70.58
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $193.43 / $219.47 / $387.86	Professional	TC	$193.43	$219.47	$387.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.87 / $363.02 / $544.34	Professional		$249.87	$363.02	$544.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.59 / $47.99 / $82.40	Professional	26	$33.59	$47.99	$82.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $201.78 / $319.62 / $461.93	Professional	TC	$201.78	$319.62	$461.93
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $291.83 / $349.65 / $517.99	Professional		$291.83	$349.65	$517.99
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $45.34 / $54.32 / $80.47	Professional	26	$45.34	$54.32	$80.47
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $248.96 / $371.89 / $483.26	Professional	TC	$248.96	$371.89	$483.26
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $528.36 / $697.85 / $1,574.27	Facility		$528.36	$697.85	$1,574.27
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $857.69 / $857.69 / $857.69	Facility	TC	$857.69	$857.69	$857.69
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $189.31 / $265.86 / $430.29	Professional		$189.31	$265.86	$430.29
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $26.96 / $40.52 / $68.26	Professional	26	$26.96	$40.52	$68.26
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $162.34 / $225.33 / $375.25	Professional	TC	$162.34	$225.33	$375.25
United Facility/Professional Professional Modifier Low / Median / High Price $227.76 / $354.93 / $492.17	Professional		$227.76	$354.93	$492.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.51 / $55.93 / $73.93	Professional	26	$38.51	$55.93	$73.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $198.75 / $299.00 / $418.24	Professional	TC	$198.75	$299.00	$418.24