| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Highmark BCBS
| Facility | $1,709.62 | $1,709.62 | $1,783.67 |
Medical/Surgical Supplies and Devices-Other Implants
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Highmark BCBS
| Facility | $1,709.62 | $1,709.62 | $1,783.67 |