| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,020.00 | $3,839.00 | $8,247.00 | |
Capital Blue Cross
| Facility | $8,459.92 | $25,716.00 | $39,341.64 | |
Martin's Point
| Facility | $832.00 | $4,761.00 | $8,247.00 | |
UPMC Health Plan
| Facility | $2,710.11 | $2,899.06 | $2,899.06 | |
United
| Facility | $625.00 | $2,391.00 | $6,322.00 |