| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $550.61 | $3,839.00 | $8,247.00 | |
Capital Blue Cross
| Facility | $5,058.35 | $6,182.00 | $17,094.48 | |
Martin's Point
| Facility | $657.00 | $4,761.00 | $8,247.00 | |
UPMC Health Plan
| Facility | $496.19 | $496.19 | $567.45 | |
United
| Facility | $1,747.00 | $2,824.00 | $5,678.00 |