| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Emblem Health
| Facility | $60,255.96 | $60,255.96 | $60,255.96 | |
Highmark BCBS
| Facility | $18.20 | $107.15 | $380.19 |
Medical/Surgical Supplies and Devices - Non Sterile Supply
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Emblem Health
| Facility | $60,255.96 | $60,255.96 | $60,255.96 | |
Highmark BCBS
| Facility | $18.20 | $107.15 | $380.19 |