| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $831.76 | $5,754.40 | $8,511.38 | |
Capital Blue Cross
| Facility | $20,417.38 | $21,379.62 | $57,543.99 | |
Martin's Point
| Facility | $831.76 | $4,265.80 | $8,317.64 | |
UPMC Health Plan
| Facility | $81.28 | $87.10 | $87.10 | |
United
| Facility | $707.95 | $1,659.59 | $4,265.80 |