| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $428.00 | $2,070.00 | $7,197.00 | |
Capital Blue Cross
| Facility | $2,344.69 | $3,159.00 | $14,886.03 | |
Cigna
| Facility | $153.55 | $153.55 | $153.55 | |
Martin's Point
| Facility | $641.00 | $2,326.00 | $8,017.00 | |
Priority Health
| Facility | $153.55 | $153.55 | $153.55 | |
UPMC Health Plan
| Facility | $87.60 | $104.45 | $158.59 | |
United
| Facility | $471.00 | $1,305.00 | $3,742.00 |