| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $103.57 | $2,240.00 | $7,629.00 | |
Capital Blue Cross
| Facility | $2,299.82 | $2,746.00 | $13,822.74 | |
Martin's Point
| Facility | $617.00 | $2,371.00 | $8,017.00 | |
Priority Health
| Facility | $173.66 | $173.66 | $173.66 | |
UPMC Health Plan
| Facility | $99.62 | $110.06 | $124.66 | |
United
| Facility | $144.00 | $650.00 | $4,300.00 |