| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $831.76 | $4,786.30 | $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 | $75.86 | $309.03 | $467.74 | |
United
| Facility | $2,089.30 | $3,981.07 | $10,964.78 |