| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $657.00 | $2,747.00 | $8,017.00 | |
Capital Blue Cross
| Facility | $5,058.35 | $6,182.00 | $17,094.48 | |
Martin's Point
| Facility | $832.00 | $3,077.00 | $8,017.00 | |
UPMC Health Plan
| Facility | $198.15 | $198.15 | $207.72 | |
United
| Facility | $2,222.00 | $3,475.00 | $6,000.00 |