| 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 | $1,364.80 | $1,364.80 | $1,364.80 |
Blood and Blood Components-Platelets
| 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 | $1,364.80 | $1,364.80 | $1,364.80 |