| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,047.13 | $7,244.36 | $14,454.40 | |
Capital Blue Cross
| Facility | $20,417.38 | $21,379.62 | $57,543.99 | |
Martin's Point
| Facility | $1,023.29 | $4,786.30 | $13,803.84 | |
UPMC Health Plan
| Facility | $109.65 | $173.78 | $281.84 | |
United
| Facility | $3,890.45 | $11,220.18 | $16,595.87 |