| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Capital Blue Cross
| Facility | $5,011.87 | $8,511.38 | $77,624.71 | |
Capital Blue Cross
| Professional | $354.81 | $354.81 | $354.81 | |
Geisinger
| Professional | $338.84 | $338.84 | $478.63 | |
Oscar Health
| Professional | $446.68 | $660.69 | $707.95 | |
UPMC Health Plan
| Facility | $323.59 | $446.68 | $501.19 | |
UPMC Health Plan
| Professional | $309.03 | $446.68 | $501.19 | |
United
| Professional | $190.55 | $204.17 | $269.15 |