| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
UPMC Health Plan
| Professional | $90.72 | $90.72 | $90.72 |
Dom/R-Home E/M Est Pt Signif New Prob 60 Minutes
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
UPMC Health Plan
| Professional | $90.72 | $90.72 | $90.72 |