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 $9.19 / $19.19 / $48.81	Facility		$9.19	$19.19	$48.81
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.10 / $35.19 / $99.37	Facility		$13.10	$35.19	$99.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1.34 / $3.28 / $3.39	Facility		$1.34	$3.28	$3.39