| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $110.66 | $143.63 | $5,904.50 | |
Capital Blue Cross
| Facility | $5,000.00 | $8,639.91 | $79,506.39 | |
Martin's Point
| Facility | $137.06 | $666.40 | $5,904.50 | |
UPMC Health Plan
| Facility | $95.13 | $95.13 | $146.75 | |
United
| Facility | $144.00 | $650.00 | $3,742.00 |