| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.14 | $50.74 | $91.94 | |
Aetna
| Professional | $42.30 | $49.15 | $58.07 | |
Capital Blue Cross
| Facility | $5,000.00 | $8,639.91 | $79,506.39 | |
Capital Blue Cross
| Professional | $60.35 | $62.62 | $94.83 | |
Cigna
| Professional | $47.85 | $66.09 | $93.67 | |
Emblem Health
| Professional | $91.61 | $91.61 | $91.61 | |
Martin's Point
| Facility | $44.14 | $50.74 | $1,812.00 | |
Martin's Point
| Professional | $43.14 | $50.10 | $61.99 | |
Priority Health
| Professional | $48.39 | $66.69 | $95.60 | |
UPMC Health Plan
| Facility | $49.63 | $56.50 | $64.36 | |
UPMC Health Plan
| Professional | $49.63 | $56.50 | $64.36 | |
United
| Professional | $54.27 | $73.44 | $113.18 |