| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Capital Blue Cross
| Facility | $6.31 | $7.41 | $5,011.87 | |
Capital Blue Cross
| Professional | $7.41 | $7.41 | $7.41 | |
UPMC Health Plan
| Facility | $74.13 | $74.13 | $85.11 | |
UPMC Health Plan
| Professional | $74.13 | $74.13 | $85.11 |