| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,154.58 | $4,761.00 | $8,451.00 | |
Capital Blue Cross
| Facility | $13,531.00 | $27,840.00 | $46,480.74 | |
Martin's Point
| Facility | $1,151.00 | $5,350.00 | $9,617.00 | |
UPMC Health Plan
| Facility | $938.83 | $938.83 | $1,032.41 | |
United
| Facility | $2,304.00 | $4,584.00 | $9,631.00 |