| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.91 | $3,839.00 | $8,247.00 | |
Capital Blue Cross
| Facility | $13,531.00 | $27,840.00 | $46,480.74 | |
Martin's Point
| Facility | $657.00 | $4,761.00 | $8,247.00 | |
Priority Health
| Facility | $93.67 | $93.67 | $93.67 | |
UPMC Health Plan
| Facility | $80.58 | $80.58 | $87.56 | |
United
| Facility | $814.00 | $2,113.00 | $4,789.00 |