| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
UPMC Health Plan
| Professional | $49.68 | $49.68 | $49.68 |
Dom/R-Home E/M Est Pt Lw Mod Severity 25 Minutes
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
UPMC Health Plan
| Professional | $49.68 | $49.68 | $49.68 |