| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Emblem Health
| Facility | $3,182.00 | $52,399.48 | $52,399.48 | |
Fidelis
| Facility | $279.45 | $1,115.67 | $1,446.19 |
Blood and Blood Components-Packed Red Cells
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Emblem Health
| Facility | $3,182.00 | $52,399.48 | $52,399.48 | |
Fidelis
| Facility | $279.45 | $1,115.67 | $1,446.19 |