Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Fidelis Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $95.50 / $141.25	Facility		$41.69	$95.50	$141.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $234.42 / $478.63	Facility		$104.71	$234.42	$478.63