| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Highmark BCBS
| Facility | $0.70 | $4.72 | $27.74 | |
Oscar Health
| Facility | $420.68 | $441.84 | $819.61 |
Pharmacy - Other Pharmacy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Highmark BCBS
| Facility | $0.70 | $4.72 | $27.74 | |
Oscar Health
| Facility | $420.68 | $441.84 | $819.61 |