| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Oscar Health
| Professional | $15.00 | $2,453.10 | $3,262.90 | |
UPMC Health Plan
| Facility | $1,280.43 | $1,280.43 | $1,803.12 | |
UPMC Health Plan
| Professional | $1,225.77 | $1,302.43 | $1,803.12 |