Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,202.26 / $1,862.09	Facility		$676.08	$1,202.26	$1,862.09
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $6,309.57 / $6,309.57	Facility		$5,623.41	$6,309.57	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $870.96 / $1,096.48	Professional		$575.44	$870.96	$1,096.48