| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $768.00 | $3,623.00 | $7,799.00 | |
Capital Blue Cross
| Facility | $5,058.35 | $6,182.00 | $17,094.48 | |
Martin's Point
| Facility | $840.97 | $3,839.00 | $8,017.00 | |
Priority Health
| Facility | $1,229.91 | $1,229.91 | $1,229.91 | |
UPMC Health Plan
| Facility | $590.35 | $711.58 | $882.94 | |
United
| Facility | $637.00 | $2,391.00 | $6,000.00 |