| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $768.00 | $3,745.00 | $8,017.00 | |
Capital Blue Cross
| Facility | $1,751.04 | $2,594.00 | $5,296.01 | |
Martin's Point
| Facility | $954.00 | $3,964.00 | $8,017.00 | |
Priority Health
| Facility | $719.79 | $719.79 | $719.79 | |
UPMC Health Plan
| Facility | $521.47 | $625.47 | $625.47 | |
United
| Facility | $637.00 | $2,391.00 | $6,000.00 |