Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $332.00 / $332.00	Facility		$319.00	$332.00	$332.00
Fidelis Facility/Professional Facility Modifier Low / Median / High Price $50.16 / $58.55 / $402.19	Facility		$50.16	$58.55	$402.19