| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $832.00 | $4,597.00 | $9,534.00 | |
Capital Blue Cross
| Facility | $8,639.91 | $11,851.00 | $57,255.43 | |
Martin's Point
| Facility | $926.00 | $4,831.00 | $9,211.00 | |
UPMC Health Plan
| Facility | $356.81 | $356.81 | $465.32 | |
United
| Facility | $2,304.00 | $4,584.00 | $9,631.00 |