| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Oscar Health
| Facility | $780.52 | $806.53 | $1,042.19 | |
Oscar Health
| Professional | $25.50 | $26.70 | $35.79 | |
UPMC Health Plan
| Facility | $23.46 | $23.46 | $25.81 | |
UPMC Health Plan
| Professional | $23.46 | $23.46 | $25.81 |