| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $926.00 | $3,964.00 | $8,240.00 | |
Capital Blue Cross
| Facility | $8,639.91 | $11,851.00 | $28,970.26 | |
Martin's Point
| Facility | $1,013.00 | $4,761.00 | $8,404.00 | |
UPMC Health Plan
| Facility | $382.11 | $425.59 | $3,315.54 | |
United
| Facility | $2,304.00 | $4,563.00 | $8,261.00 |