| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Emblem Health
| Facility | $57,543.99 | $57,543.99 | $57,543.99 | |
Highmark BCBS
| Facility | $0.24 | $1.86 | $26.30 |
Pharmacy - Drugs Incident to Radiology
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Emblem Health
| Facility | $57,543.99 | $57,543.99 | $57,543.99 | |
Highmark BCBS
| Facility | $0.24 | $1.86 | $26.30 |