| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $831.76 | $4,265.80 | $8,317.64 | |
Capital Blue Cross
| Facility | $5,011.87 | $6,165.95 | $57,543.99 | |
Martin's Point
| Facility | $831.76 | $3,801.89 | $8,317.64 | |
UPMC Health Plan
| Facility | $467.74 | $588.84 | $891.25 | |
United
| Facility | $912.01 | $2,754.23 | $6,606.93 |