| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.26 | $0.26 | $0.32 | |
Aetna
| Professional | $0.24 | $0.28 | $1.32 | |
Capital Blue Cross
| Facility | $5,000.00 | $8,639.91 | $79,506.39 | |
Capital Blue Cross
| Professional | $0.38 | $0.38 | $0.38 | |
Cigna
| Professional | $0.24 | $0.24 | $0.24 | |
Martin's Point
| Facility | $0.26 | $0.26 | $0.32 | |
Martin's Point
| Professional | $0.24 | $0.28 | $1.32 | |
Priority Health
| Professional | $0.24 | $0.24 | $0.24 | |
UPMC Health Plan
| Facility | $0.44 | $0.44 | $0.51 | |
UPMC Health Plan
| Professional | $0.44 | $0.44 | $0.51 | |
United
| Professional | $0.22 | $0.47 | $0.78 |