| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Oscar Health
| Professional | $4,321.01 | $4,379.39 | $5,839.20 | |
UPMC Health Plan
| Facility | $2,919.60 | $2,919.60 | $3,211.56 | |
UPMC Health Plan
| Professional | $2,919.60 | $2,919.60 | $3,211.56 |