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 $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 $115.83 / $155.97 / $237.83	Facility		$115.83	$155.97	$237.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $464.00 / $609.00	Facility		$3.39	$464.00	$609.00