Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $42.70 / $49.77 / $102.85	Facility		$42.70	$49.77	$102.85
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $84.00 / $84.00	Professional		$84.00	$84.00	$84.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,690.00 / $8,702.00 / $13,785.00	Facility		$1,690.00	$8,702.00	$13,785.00