Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.00 / $289.00 / $405.00	Facility		$63.00	$289.00	$405.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $275.00 / $1,215.00	Facility		$105.00	$275.00	$1,215.00
Fidelis Facility/Professional Facility Modifier Low / Median / High Price $629.91 / $629.91 / $629.91	Facility		$629.91	$629.91	$629.91
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $153.54 / $280.49 / $454.97	Facility		$153.54	$280.49	$454.97
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3.28 / $3.28 / $3.39	Facility		$3.28	$3.28	$3.39