Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
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 $117.49 / $117.49 / $128.82	Facility		$117.49	$117.49	$128.82
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $398.11 / $2,511.89	Facility		$269.15	$398.11	$2,511.89