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 $28.18 / $49.50 / $100.65	Facility		$28.18	$49.50	$100.65
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.43 / $71.06 / $215.13	Facility		$23.43	$71.06	$215.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1.34 / $3.28 / $3.39	Facility		$1.34	$3.28	$3.39
United Facility/Professional Facility Modifier Low / Median / High Price $5,500.00 / $5,500.00 / $5,500.00	Facility		$5,500.00	$5,500.00	$5,500.00