| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Capital Blue Cross
| Facility | $0.65 | $0.76 | $8,639.91 | |
Capital Blue Cross
| Professional | $0.76 | $0.76 | $0.76 | |
Oscar Health
| Facility | $678.79 | $5,496.70 | $13,541.68 | |
UPMC Health Plan
| Facility | $0.72 | $0.72 | $0.84 | |
UPMC Health Plan
| Professional | $0.72 | $0.72 | $0.84 |