| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,202.26 | $4,786.30 | $8,317.64 | |
Capital Blue Cross
| Facility | $20,417.38 | $21,379.62 | $57,543.99 | |
Martin's Point
| Facility | $1,023.29 | $3,801.89 | $8,317.64 | |
UPMC Health Plan
| Facility | $467.74 | $467.74 | $2,754.23 | |
UPMC Health Plan
| Facility | 62 | $2,570.40 | $2,570.40 | $2,570.40 |
United
| Facility | $1,174.90 | $1,995.26 | $5,011.87 |