| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $102.33 | $169.82 | $407.38 | |
Highmark BCBS
| Facility | $42.66 | $112.20 | $1,258.93 |
Other Therapeutic Services (see also 095X, an extension of 094X)-General Classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $102.33 | $169.82 | $407.38 | |
Highmark BCBS
| Facility | $42.66 | $112.20 | $1,258.93 |