| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $637.50 | $2,587.94 | $3,136.70 | |
Aetna
| Professional | $492.23 | $607.50 | $637.50 | |
Capital Blue Cross
| Professional | $585.00 | $585.00 | $585.00 | |
Cigna
| Facility | $502.13 | $974.42 | $2,488.32 | |
Cigna
| Professional | $861.93 | $861.93 | $1,077.41 | |
Emblem Health
| Professional | $345.00 | $442.50 | $1,015.50 | |
Martin's Point
| Facility | $835.13 | $2,126.25 | $3,136.70 | |
Martin's Point
| Professional | $492.23 | $615.00 | $3,097.50 | |
Priority Health
| Facility | $502.13 | $947.85 | $2,488.32 | |
Priority Health
| Professional | $861.93 | $861.93 | $1,077.41 | |
UPMC Health Plan
| Facility | $750.00 | $750.00 | $825.00 | |
UPMC Health Plan
| Professional | $660.00 | $750.00 | $825.00 | |
United
| Professional | $315.00 | $450.00 | $1,275.00 |