| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Highmark BCBS
| Facility | $0.75 | $7.91 | $131.72 | |
Oscar Health
| Facility | $92.40 | $95.48 | $125.62 | |
United
| Facility | $3,850.00 | $3,850.00 | $3,850.00 |
Pharmacy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Highmark BCBS
| Facility | $0.75 | $7.91 | $131.72 | |
Oscar Health
| Facility | $92.40 | $95.48 | $125.62 | |
United
| Facility | $3,850.00 | $3,850.00 | $3,850.00 |