| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $17.04 | $22.51 | $54.53 |
Cigna
| Facility | 26 | $19.39 | $19.39 | $19.39 |
Martin's Point
| Facility | 26 | $17.04 | $31.14 | $55.72 |
Priority Health
| Facility | 26 | $19.39 | $19.39 | $19.39 |
UPMC Health Plan
| Facility | 26 | $17.29 | $17.29 | $20.50 |