| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.55 | $0.55 | $0.66 | |
Aetna
| Professional | $0.40 | $0.61 | $2.78 | |
Capital Blue Cross
| Facility | $5,000.00 | $8,639.91 | $79,506.39 | |
Capital Blue Cross
| Professional | $0.87 | $0.87 | $0.87 | |
Cigna
| Professional | $5.92 | $5.92 | $5.92 | |
Martin's Point
| Facility | $0.55 | $0.55 | $0.66 | |
Martin's Point
| Professional | $0.40 | $0.61 | $2.78 | |
Priority Health
| Professional | $5.92 | $5.92 | $5.92 | |
UPMC Health Plan
| Facility | $0.87 | $0.91 | $0.91 | |
UPMC Health Plan
| Professional | $0.87 | $0.91 | $0.91 | |
United
| Professional | $0.47 | $0.86 | $1.59 |