| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,412.54 | $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 | $5,370.32 | $13,803.84 | |
UPMC Health Plan
| Facility | $1,698.24 | $3,715.35 | $3,715.35 | |
United
| Facility | $660.69 | $2,570.40 | $6,760.83 |