Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $552.50 / $1,105.43 / $1,912.50	Facility		$552.50	$1,105.43	$1,912.50
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $895.55 / $1,049.25 / $2,423.51	Facility		$895.55	$1,049.25	$2,423.51