| 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 | $2,450.00 | $5,951.00 | $8,887.00 | |
Martin's Point
| Facility | $954.00 | $3,964.00 | $8,017.00 | |
Priority Health
| Facility | $802.75 | $802.75 | $802.75 | |
UPMC Health Plan
| Facility | $586.41 | $693.35 | $693.35 | |
United
| Facility | $1,122.00 | $2,884.00 | $6,000.00 |