| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $768.00 | $3,838.00 | $8,104.00 | |
Capital Blue Cross
| Facility | $8,639.91 | $11,851.00 | $28,970.26 | |
Martin's Point
| Facility | $954.00 | $3,964.00 | $8,017.00 | |
UPMC Health Plan
| Facility | $507.19 | $507.19 | $667.66 | |
United
| Facility | $2,332.00 | $3,914.00 | $7,000.00 |