| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Oscar Health
| Facility | $48.45 | $58.65 | $124.95 | |
Oscar Health
| Professional | $75.00 | $75.00 | $85.40 | |
UPMC Health Plan
| Facility | $75.00 | $75.00 | $75.00 | |
UPMC Health Plan
| Professional | $75.00 | $75.00 | $75.00 |