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 $14.42 / $26.59 / $36.63	Facility		$14.42	$26.59	$36.63
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.63 / $71.52 / $148.84	Facility		$30.63	$71.52	$148.84