| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
UPMC Health Plan
| Professional | $170.64 | $170.64 | $170.64 |
Dom/R-Home E/M New Pt Signif New Prob 75 Minutes
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
UPMC Health Plan
| Professional | $170.64 | $170.64 | $170.64 |