| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $103,720.00 | $185,264.00 | $273,380.00 | |
Capital Blue Cross
| Facility | $8,639.91 | $262,004.00 | $432,553.37 | |
Emblem Health
| Facility | $186,725.40 | $186,725.40 | $226,737.99 | |
Martin's Point
| Facility | $102,190.00 | $185,264.00 | $264,779.00 | |
UPMC Health Plan
| Facility | $2,621.40 | $83,676.00 | $122,478.24 | |
United
| Facility | $52,704.20 | $142,837.34 | $259,090.28 |