| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.00 | $3.89 | $3.89 | |
Ambetter
| Professional | $0.51 | $1.86 | $79.43 | |
Capital Blue Cross
| Facility | $5,011.87 | $8,511.38 | $77,624.71 | |
Capital Blue Cross
| Professional | $0.87 | $0.87 | $0.87 | |
Cigna
| Professional | $5.89 | $5.89 | $5.89 | |
Martin's Point
| Professional | $1.00 | $2.14 | $3.89 | |
UPMC Health Plan
| Facility | $0.68 | $0.91 | $1.58 | |
UPMC Health Plan
| Professional | $0.68 | $0.91 | $1.58 | |
United
| Professional | $0.47 | $0.87 | $1.41 |