Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $616.60 / $616.60	Facility		$102.33	$616.60	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $131.83 / $257.04	Professional		$109.65	$131.83	$257.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $25.12 / $66.07	Professional	26	$20.89	$25.12	$66.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $104.71 / $186.21	Professional	TC	$87.10	$104.71	$186.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $144.54 / $223.87	Professional		$102.33	$144.54	$223.87
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $28.18 / $44.67	Professional	26	$19.50	$28.18	$44.67
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $114.82 / $181.97	Professional	TC	$83.18	$114.82	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $177.83 / $269.15	Professional		$138.04	$177.83	$269.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $30.20 / $51.29	Professional	26	$21.88	$30.20	$51.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $144.54 / $218.78	Professional	TC	$93.33	$144.54	$218.78
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $190.55 / $331.13	Professional		$141.25	$190.55	$331.13
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $37.15 / $66.07	Professional	26	$27.54	$37.15	$66.07
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $147.91 / $269.15	Professional	TC	$112.20	$147.91	$269.15
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $616.60	Facility		$102.33	$102.33	$616.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $154.88 / $316.23	Professional		$114.82	$154.88	$316.23
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $30.20 / $66.07	Professional	26	$21.88	$30.20	$66.07
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $123.03 / $229.09	Professional	TC	$93.33	$123.03	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $331.13	Professional		$117.49	$169.82	$331.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $35.48 / $64.57	Professional	26	$23.44	$35.48	$64.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $138.04 / $263.03	Professional	TC	$95.50	$138.04	$263.03