| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $831.76 | $5,754.40 | $8,511.38 | |
Capital Blue Cross
| Facility | $20,417.38 | $21,379.62 | $57,543.99 | |
Martin's Point
| Facility | $831.76 | $4,265.80 | $8,317.64 | |
UPMC Health Plan
| Facility | $199.53 | $380.19 | $380.19 | |
UPMC Health Plan
| Facility | 62 | $354.81 | $354.81 | $354.81 |
United
| Facility | $660.69 | $2,570.40 | $6,760.83 |