| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Highmark BCBS
| Professional | QX | $498.75 | $517.50 | $532.50 |
Highmark BCBS
| Professional | QZ | $323.30 | $547.50 | $547.50 |
Anes Perq Img Dstrj Px Nulyt Agt Spi/Sp Crv/Thrc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Highmark BCBS
| Professional | QX | $498.75 | $517.50 | $532.50 |
Highmark BCBS
| Professional | QZ | $323.30 | $547.50 | $547.50 |