Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $346.00 / $3,182.00	Facility		$90.00	$346.00	$3,182.00
Fidelis Facility/Professional Facility Modifier Low / Median / High Price $99.08 / $107.91 / $357.12	Facility		$99.08	$107.91	$357.12
United Facility/Professional Facility Modifier Low / Median / High Price $5,500.00 / $5,500.00 / $5,500.00	Facility		$5,500.00	$5,500.00	$5,500.00