Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $127.89 / $215.67 / $771.20	Facility		$127.89	$215.67	$771.20
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $12.00 / $16.25	Professional		$11.05	$12.00	$16.25
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $8,702.00 / $13,785.00	Facility		$142.63	$8,702.00	$13,785.00