| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.15 | $111.57 | $111.57 | |
Capital Blue Cross
| Facility | $5,000.00 | $8,639.91 | $79,506.39 | |
Cigna
| Facility | $119.39 | $119.39 | $119.39 | |
Martin's Point
| Facility | $111.57 | $111.57 | $111.57 | |
Priority Health
| Facility | $119.39 | $119.39 | $119.39 | |
UPMC Health Plan
| Facility | $87.57 | $103.02 | $103.02 |