| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,412.54 | $6,606.93 | $9,772.37 | |
Capital Blue Cross
| Facility | $9,549.93 | $10,000.00 | $57,543.99 | |
Martin's Point
| Facility | $1,071.52 | $5,370.32 | $9,772.37 | |
UPMC Health Plan
| Facility | $831.76 | $831.76 | $933.25 | |
United
| Facility | $2,454.71 | $5,495.41 | $16,982.44 |