| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Oscar Health
| Facility | $35.82 | $39.60 | $49.83 | |
Oscar Health
| Professional | $25.00 | $25.00 | $28.50 | |
UPMC Health Plan
| Facility | $25.00 | $25.00 | $25.00 | |
UPMC Health Plan
| Professional | $25.00 | $25.00 | $25.00 |