| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $766.73 | $2,747.00 | $8,017.00 | |
Capital Blue Cross
| Facility | $2,299.82 | $2,746.00 | $13,822.74 | |
Martin's Point
| Facility | $918.00 | $3,120.00 | $8,017.00 | |
Priority Health
| Facility | $1,211.27 | $1,211.27 | $1,211.27 | |
UPMC Health Plan
| Facility | $687.44 | $696.18 | $812.21 | |
United
| Facility | $637.00 | $2,391.00 | $6,000.00 |