| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $102.33 | $102.33 | $102.33 | |
Highmark BCBS
| Facility | $19.50 | $19.50 | $75.86 | |
Oscar Health
| Facility | $26.92 | $48.98 | $69.18 | |
UPMC Health Plan
| Facility | $95.50 | $95.50 | $95.50 |