| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $962.92 | $4,304.00 | $8,240.00 | |
Capital Blue Cross
| Facility | $13,531.00 | $27,840.00 | $46,480.74 | |
Martin's Point
| Facility | $1,013.00 | $4,761.00 | $8,247.00 | |
UPMC Health Plan
| Facility | $871.44 | $871.44 | $1,047.82 | |
United
| Facility | $2,155.00 | $3,475.00 | $6,000.00 |