Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $52,480.75 / $52,480.75	Facility		$3,162.28	$52,480.75	$52,480.75
Fidelis Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $457.09	Facility		$239.88	$239.88	$457.09