| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $832.00 | $2,747.00 | $8,017.00 | |
Capital Blue Cross
| Facility | $950.40 | $1,359.00 | $5,044.89 | |
Martin's Point
| Facility | $934.00 | $3,389.00 | $8,017.00 | |
Priority Health
| Facility | $223.48 | $223.48 | $223.48 | |
UPMC Health Plan
| Facility | $190.11 | $190.11 | $270.33 | |
United
| Facility | $144.00 | $674.00 | $4,300.00 |