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 $1,215.00 / $1,215.00 / $1,215.00	Facility		$1,215.00	$1,215.00	$1,215.00
Fidelis Facility/Professional Facility Modifier Low / Median / High Price $89.86 / $144.44 / $202.35	Facility		$89.86	$144.44	$202.35
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.41 / $296.57 / $622.47	Facility		$139.41	$296.57	$622.47
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