| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Capital Blue Cross
| Facility | $5,000.00 | $8,639.91 | $79,506.39 | |
Capital Blue Cross
| Professional | $760.82 | $789.53 | $789.53 | |
Johns Hopkins Employer Health Plan
| Professional | $69,999.30 | $69,999.30 | $69,999.30 | |
UPMC Health Plan
| Facility | $706.49 | $706.49 | $706.49 | |
UPMC Health Plan
| Professional | $706.49 | $706.49 | $706.49 | |
United
| Professional | $714.33 | $913.31 | $1,390.43 |