| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Capital Blue Cross
| Facility | $8.13 | $9.56 | $8,639.91 | |
Capital Blue Cross
| Professional | $9.56 | $9.56 | $9.56 | |
UPMC Health Plan
| Facility | $10.30 | $10.30 | $11.95 | |
UPMC Health Plan
| Professional | $10.30 | $10.30 | $11.95 |