Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $1,428.00 / $3,161.00	Facility		$1,159.00	$1,428.00	$3,161.00
Fidelis Facility/Professional Facility Modifier Low / Median / High Price $22.55 / $23.05 / $452.88	Facility		$22.55	$23.05	$452.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $196.64 / $196.64 / $196.64	Facility		$196.64	$196.64	$196.64