| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Capital Blue Cross
| Facility | $5,000.00 | $8,639.91 | $79,506.39 | |
Capital Blue Cross
| Professional | $64,999.35 | $64,999.35 | $64,999.35 | |
Cigna
| Professional | $0.80 | $0.80 | $0.80 | |
Highmark BCBS
| Professional | $30.00 | $30.00 | $113.34 | |
Priority Health
| Professional | $0.80 | $0.80 | $0.80 |