Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,348.96 / $3,311.31	Facility		$524.81	$1,348.96	$3,311.31
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $52.48 / $52.48 / $52.48	Facility	52	$52.48	$52.48	$52.48
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $87.10 / $87.10 / $177.83	Facility	53	$87.10	$87.10	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $309.03 / $776.25	Professional		$173.78	$309.03	$776.25
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $60.26 / $128.82 / $229.09	Professional	53	$60.26	$128.82	$229.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $363.08 / $645.65	Professional		$190.55	$363.08	$645.65
Anthem BCBS Facility/Professional Professional Modifier 53 Low / Median / High Price $91.20 / $169.82 / $309.03	Professional	53	$91.20	$169.82	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $616.60	Facility		$371.54	$371.54	$616.60
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $446.68 / $446.68 / $446.68	Facility	22	$446.68	$446.68	$446.68
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $295.12 / $295.12 / $295.12	Facility	52	$295.12	$295.12	$295.12
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $74.13 / $74.13 / $74.13	Facility	53	$74.13	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $398.11	Professional		$302.00	$302.00	$398.11
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $467.74 / $1,000.00	Professional		$204.17	$467.74	$1,000.00
Harvard Pilgrim Facility/Professional Professional Modifier 53 Low / Median / High Price $134.90 / $134.90 / $257.04	Professional	53	$134.90	$134.90	$257.04
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,348.96 / $3,311.31	Facility		$524.81	$1,348.96	$3,311.31
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $52.48 / $52.48 / $52.48	Facility	52	$52.48	$52.48	$52.48
Martin's Point Facility/Professional Facility Modifier 53 Low / Median / High Price $87.10 / $87.10 / $177.83	Facility	53	$87.10	$87.10	$177.83
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $331.13 / $741.31	Professional		$173.78	$331.13	$741.31
Martin's Point Facility/Professional Professional Modifier 53 Low / Median / High Price $72.44 / $151.36 / $338.84	Professional	53	$72.44	$151.36	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $363.08 / $707.95	Professional		$204.17	$363.08	$707.95
United Facility/Professional Professional Modifier 53 Low / Median / High Price $134.90 / $204.17 / $257.04	Professional	53	$134.90	$204.17	$257.04