| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Emblem Health
| Facility | $1,979.37 | $1,979.37 | $1,979.37 |
Hospice Service-Other Hospice Service
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Emblem Health
| Facility | $1,979.37 | $1,979.37 | $1,979.37 |