| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.85 | $419.41 | $436.80 | |
Capital Blue Cross
| Facility | $5,000.00 | $8,639.91 | $79,506.39 | |
Martin's Point
| Facility | $26.85 | $419.41 | $470.40 | |
Priority Health
| Facility | $39.60 | $39.60 | $39.60 | |
UPMC Health Plan
| Facility | $24.67 | $33.52 | $348.74 |