| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Emblem Health
| Facility | $801.00 | $891.00 | $52,399.48 | |
Fidelis
| Facility | $758.01 | $1,470.73 | $1,708.31 | |
Highmark BCBS
| Facility | $422.68 | $859.94 | $1,380.83 | |
Univera
| Facility | $900.00 | $900.00 | $900.00 |