| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Emblem Health
| Facility | $15,999.84 | $44,999.55 | $59,999.40 | |
Fidelis
| Facility | $508.83 | $617.08 | $1,138.52 | |
Highmark BCBS
| Facility | $62.78 | $109.71 | $350.87 |
Medical/Surgical Supplies and Devices-Other Supplies/Devices
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Emblem Health
| Facility | $15,999.84 | $44,999.55 | $59,999.40 | |
Fidelis
| Facility | $508.83 | $617.08 | $1,138.52 | |
Highmark BCBS
| Facility | $62.78 | $109.71 | $350.87 |