| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $882.00 | $4,534.00 | $8,247.00 | |
Capital Blue Cross
| Facility | $5,058.35 | $6,182.00 | $17,094.48 | |
Martin's Point
| Facility | $1,013.00 | $4,761.00 | $8,404.00 | |
UPMC Health Plan
| Facility | $377.85 | $377.85 | $431.02 | |
United
| Facility | $1,440.00 | $3,475.00 | $6,000.00 |