Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.00 / $132.00 / $178.00	Facility		$76.00	$132.00	$178.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $180.00 / $1,215.00 / $1,215.00	Facility		$180.00	$1,215.00	$1,215.00
Fidelis Facility/Professional Facility Modifier Low / Median / High Price $28.90 / $42.38 / $79.31	Facility		$28.90	$42.38	$79.31
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $55.39 / $232.01	Facility		$19.98	$55.39	$232.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1.34 / $3.28 / $3.39	Facility		$1.34	$3.28	$3.39