| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Emblem Health
| Professional | $1,248.69 | $1,248.69 | $1,248.69 | |
UPMC Health Plan
| Facility | $480.13 | $480.13 | $528.66 | |
UPMC Health Plan
| Professional | $480.13 | $506.00 | $528.66 | |
United
| Professional | $107.95 | $144.66 | $290.38 |