| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,068.00 | $3,623.00 | $8,017.00 | |
Capital Blue Cross
| Facility | $5,058.35 | $6,182.00 | $17,094.48 | |
Martin's Point
| Facility | $1,013.00 | $3,838.00 | $8,017.00 | |
Priority Health
| Facility | $1,369.63 | $1,369.63 | $1,369.63 | |
UPMC Health Plan
| Facility | $1,183.73 | $1,183.73 | $1,387.69 | |
United
| Facility | $637.00 | $2,391.00 | $6,000.00 |