| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $381.46 | $2,200.23 | $7,197.00 | |
Capital Blue Cross
| Facility | $5,000.00 | $8,639.91 | $79,506.39 | |
Martin's Point
| Facility | $594.00 | $2,371.00 | $7,799.00 | |
UPMC Health Plan
| Facility | $315.93 | $806.47 | $1,674.18 | |
United
| Facility | $144.00 | $577.00 | $3,742.00 |