Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $54.00	Professional		$54.00	$54.00	$54.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.12 / $128.38 / $170.34	Professional		$109.12	$128.38	$170.34