| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Capital Blue Cross
| Professional | $812.96 | $956.42 | $956.42 | |
Emblem Health
| Professional | $700.03 | $929.26 | $1,315.76 | |
UPMC Health Plan
| Facility | $963.02 | $963.02 | $1,059.32 | |
UPMC Health Plan
| Professional | $963.02 | $1,033.49 | $1,059.32 | |
United
| Professional | $896.22 | $1,224.83 | $1,731.16 |