| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $118,533.00 | $211,723.00 | $289,126.00 | |
Capital Blue Cross
| Facility | $8,639.91 | $179,671.30 | $260,773.82 | |
Emblem Health
| Facility | $213,393.40 | $213,393.40 | $259,120.55 | |
Martin's Point
| Facility | $116,785.00 | $203,357.00 | $286,122.00 | |
UPMC Health Plan
| Facility | $2,621.40 | $99,140.38 | $145,242.91 | |
United
| Facility | $59,182.41 | $163,237.26 | $296,093.37 |