| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,108.32 | $5,079.00 | $9,534.00 | |
Capital Blue Cross
| Facility | $8,639.91 | $11,851.00 | $28,970.26 | |
Martin's Point
| Facility | $1,298.00 | $5,350.00 | $9,830.00 | |
UPMC Health Plan
| Facility | $895.23 | $895.23 | $1,003.15 | |
United
| Facility | $2,304.00 | $4,584.00 | $9,631.00 |