| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Oscar Health
| Facility | $1,003.93 | $1,534.18 | $1,885.21 | |
Oscar Health
| Professional | $142.60 | $162.40 | $285.26 | |
UPMC Health Plan
| Facility | $142.63 | $142.63 | $142.63 | |
UPMC Health Plan
| Professional | $142.63 | $142.63 | $142.63 |