| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $882.00 | $4,304.00 | $8,240.00 | |
Capital Blue Cross
| Facility | $3,736.00 | $4,444.00 | $15,949.31 | |
Martin's Point
| Facility | $1,013.00 | $4,761.00 | $8,247.00 | |
Priority Health
| Facility | $1,014.98 | $1,014.98 | $1,014.98 | |
UPMC Health Plan
| Facility | $850.64 | $881.33 | $881.33 | |
United
| Facility | $637.00 | $2,391.00 | $6,000.00 |