| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $851.28 | $2,868.00 | $8,017.00 | |
Capital Blue Cross
| Facility | $5,058.35 | $6,182.00 | $17,094.48 | |
Martin's Point
| Facility | $934.00 | $3,120.00 | $8,017.00 | |
Priority Health
| Facility | $1,051.97 | $1,051.97 | $1,051.97 | |
UPMC Health Plan
| Facility | $900.80 | $900.80 | $993.34 | |
United
| Facility | $1,440.00 | $3,475.00 | $6,368.00 |