| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Geisinger
| Professional | $1,047.13 | $1,047.13 | $1,380.38 | |
UPMC Health Plan
| Facility | $954.99 | $1,071.52 | $1,071.52 | |
UPMC Health Plan
| Professional | $575.44 | $1,023.29 | $1,071.52 | |
United
| Facility | $11,220.18 | $11,220.18 | $11,220.18 | |
United
| Professional | $758.58 | $1,148.15 | $1,659.59 |