| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
UPMC Health Plan
| Facility | $52.30 | $52.30 | $66.77 | |
UPMC Health Plan
| Professional | $30.62 | $53.35 | $66.77 |
Cor Ffr Derived Cta Data Prep & Transmis
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
UPMC Health Plan
| Facility | $52.30 | $52.30 | $66.77 | |
UPMC Health Plan
| Professional | $30.62 | $53.35 | $66.77 |