| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
UPMC Health Plan
| Facility | $38.18 | $40.07 | $40.07 | |
UPMC Health Plan
| Professional | $38.18 | $38.18 | $40.07 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
UPMC Health Plan
| Facility | $38.18 | $40.07 | $40.07 | |
UPMC Health Plan
| Professional | $38.18 | $38.18 | $40.07 |