| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $375.88 | $3,839.00 | $8,247.00 | |
Capital Blue Cross
| Facility | $3,736.00 | $4,444.00 | $15,949.31 | |
Martin's Point
| Facility | $657.00 | $4,761.00 | $8,247.00 | |
UPMC Health Plan
| Facility | $305.33 | $305.33 | $344.62 | |
United
| Facility | $144.00 | $650.00 | $3,742.00 |