| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Geisinger
| Professional | $107.15 | $107.15 | $151.36 | |
Oscar Health
| Professional | $141.25 | $208.93 | $288.40 | |
UPMC Health Plan
| Facility | $41.69 | $45.71 | $190.55 | |
UPMC Health Plan
| Professional | $41.69 | $107.15 | $190.55 | |
United
| Facility | $169.82 | $169.82 | $169.82 | |
United
| Professional | $60.26 | $64.57 | $95.50 |