| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $588.84 | $2,691.53 | $8,317.64 | |
Capital Blue Cross
| Facility | $5,011.87 | $8,511.38 | $77,624.71 | |
Martin's Point
| Facility | $616.60 | $2,344.23 | $7,762.47 | |
UPMC Health Plan
| Facility | $144.54 | $309.03 | $758.58 | |
United
| Facility | $144.54 | $645.65 | $4,265.80 |