| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $804.61 | $3,745.00 | $8,017.00 | |
Capital Blue Cross
| Facility | $2,800.00 | $5,951.00 | $8,887.00 | |
Martin's Point
| Facility | $954.00 | $3,964.00 | $8,017.00 | |
Priority Health
| Facility | $984.64 | $984.64 | $984.64 | |
UPMC Health Plan
| Facility | $758.89 | $850.47 | $850.47 | |
United
| Facility | $1,122.00 | $2,884.00 | $6,000.00 |