| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $96.56 | $104.51 | $128.59 | |
Capital Blue Cross
| Professional | $108.31 | $127.42 | $202.08 | |
Cigna
| Professional | $109.51 | $109.51 | $109.51 | |
Emblem Health
| Professional | $184.62 | $184.62 | $184.62 | |
Martin's Point
| Professional | $95.91 | $104.94 | $130.07 | |
Priority Health
| Professional | $109.51 | $109.51 | $109.51 | |
UPMC Health Plan
| Professional | $117.71 | $120.93 | $141.59 | |
United
| Professional | $112.57 | $154.37 | $243.12 |