| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Harvard Pilgrim
| Facility | $43,651.58 | $43,651.58 | $43,651.58 |
Appendectomy With Complicated Principal Diagnosis With Mcc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Harvard Pilgrim
| Facility | $43,651.58 | $43,651.58 | $43,651.58 |