Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $83.05 / $113.25 / $318.75	Facility		$83.05	$113.25	$318.75
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $56.25 / $100.00 / $256.64	Professional		$56.25	$100.00	$256.64
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $8,702.00 / $8,702.00	Facility		$8,702.00	$8,702.00	$8,702.00
United Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Facility		$55.00	$55.00	$55.00