| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $62.73 | $66.78 | $83.86 | |
Capital Blue Cross
| Professional | $69.31 | $81.55 | $131.77 | |
Cigna
| Professional | $69.93 | $69.93 | $69.93 | |
Emblem Health
| Professional | $116.77 | $116.77 | $116.77 | |
Martin's Point
| Professional | $61.10 | $67.98 | $84.69 | |
Priority Health
| Professional | $69.93 | $69.93 | $69.93 | |
UPMC Health Plan
| Professional | $74.62 | $76.50 | $92.32 | |
United
| Professional | $71.20 | $100.52 | $165.39 |