Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $79.63 / $163.80 / $300.00	Facility		$79.63	$163.80	$300.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $62.25 / $72.00 / $195.00	Professional		$62.25	$72.00	$195.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $8,702.00	Facility		$75.00	$75.00	$8,702.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
United Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Facility		$55.00	$55.00	$55.00