| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.15 | $0.23 | $0.37 | |
Aetna
| Professional | $0.15 | $0.15 | $0.15 | |
Cigna
| Professional | $161.63 | $161.63 | $202.03 | |
Martin's Point
| Facility | $0.15 | $0.23 | $0.37 | |
Martin's Point
| Professional | $0.15 | $0.15 | $0.34 | |
Priority Health
| Professional | $161.63 | $161.63 | $202.03 | |
UPMC Health Plan
| Facility | $1.79 | $1.79 | $1.79 | |
UPMC Health Plan
| Professional | $1.79 | $1.79 | $1.79 | |
United
| Professional | $0.28 | $0.72 | $0.90 |