| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $921.00 | $4,736.92 | $8,451.00 | |
Capital Blue Cross
| Facility | $13,531.00 | $27,840.00 | $46,480.74 | |
Martin's Point
| Facility | $1,054.00 | $4,993.00 | $9,617.00 | |
UPMC Health Plan
| Facility | $786.99 | $786.99 | $811.44 | |
United
| Facility | $2,332.00 | $3,198.00 | $5,762.00 |