| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $365.24 | $1,278.33 | $1,885.83 | |
Aetna
| Professional | $272.44 | $365.24 | $2,899.35 | |
Capital Blue Cross
| Facility | $5,000.00 | $8,639.91 | $79,506.39 | |
Capital Blue Cross
| Professional | $351.71 | $351.71 | $351.71 | |
Cigna
| Facility | $427.91 | $666.07 | $1,496.25 | |
Cigna
| Professional | $207.68 | $481.71 | $1,019.78 | |
Emblem Health
| Professional | $268.29 | $608.73 | $856.73 | |
Martin's Point
| Facility | $383.27 | $1,278.33 | $1,862.26 | |
Martin's Point
| Professional | $306.31 | $383.27 | $1,862.26 | |
Oscar Health
| Professional | $667.35 | $676.37 | $905.60 | |
Priority Health
| Facility | $438.89 | $750.16 | $1,496.25 | |
Priority Health
| Professional | $211.18 | $482.66 | $1,019.78 | |
UPMC Health Plan
| Facility | $450.91 | $450.91 | $500.50 | |
UPMC Health Plan
| Professional | $450.91 | $450.91 | $500.50 | |
United
| Professional | $189.38 | $270.55 | $817.56 |