| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Geisinger
| Professional | $1,202.26 | $1,202.26 | $1,202.26 | |
UPMC Health Plan
| Facility | $467.74 | $478.63 | $524.81 | |
UPMC Health Plan
| Professional | $269.15 | $478.63 | $524.81 | |
United
| Facility | $74,131.02 | $74,131.02 | $74,131.02 | |
United
| Professional | $107.15 | $144.54 | $295.12 |