Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $1,227.00 / $1,966.00	Facility		$599.00	$1,227.00	$1,966.00
Fidelis Facility/Professional Facility Modifier Low / Median / High Price $29.96 / $29.96 / $29.96	Facility		$29.96	$29.96	$29.96
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $180.14 / $180.14 / $180.14	Facility		$180.14	$180.14	$180.14