| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Capital Blue Cross
| Professional | $5.87 | $5.87 | $5.87 | |
Cigna
| Professional | $9.50 | $9.50 | $11.87 | |
Priority Health
| Professional | $9.50 | $9.50 | $11.87 | |
UPMC Health Plan
| Facility | $7.52 | $7.52 | $8.27 | |
UPMC Health Plan
| Professional | $6.62 | $7.52 | $8.27 |