| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Emblem Health
| Facility | $59,999.40 | $59,999.40 | $59,999.40 | |
Fidelis
| Facility | $8.19 | $33.17 | $79.63 | |
Highmark BCBS
| Facility | $4.57 | $78.94 | $319.33 |
Medical/Surgical Supplies and Devices-General Classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Emblem Health
| Facility | $59,999.40 | $59,999.40 | $59,999.40 | |
Fidelis
| Facility | $8.19 | $33.17 | $79.63 | |
Highmark BCBS
| Facility | $4.57 | $78.94 | $319.33 |