| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.13 | $1.13 | $1.13 | |
Aetna
| Professional | $1.13 | $1.13 | $1.13 | |
Capital Blue Cross
| Facility | $5,000.00 | $8,639.91 | $79,506.39 | |
Capital Blue Cross
| Professional | $3.78 | $3.93 | $3.93 | |
Cigna
| Professional | $1.74 | $1.74 | $1.74 | |
Martin's Point
| Facility | $1.13 | $1.13 | $1.13 | |
Martin's Point
| Professional | $1.12 | $1.13 | $1.13 | |
Priority Health
| Professional | $1.74 | $1.74 | $1.74 | |
UPMC Health Plan
| Facility | $2.10 | $2.10 | $2.10 | |
UPMC Health Plan
| Professional | $2.10 | $2.10 | $2.10 |