| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Capital Blue Cross
| Facility | $5,000.00 | $8,639.91 | $79,506.39 | |
Capital Blue Cross
| Professional | $351.71 | $351.71 | $351.71 | |
Oscar Health
| Professional | $667.35 | $676.37 | $901.82 | |
UPMC Health Plan
| Facility | $450.91 | $450.91 | $496.00 | |
UPMC Health Plan
| Professional | $450.91 | $450.91 | $496.00 |