| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51,298.90 | $91,629.60 | $125,128.00 | |
Capital Blue Cross
| Facility | $8,639.91 | $99,803.00 | $225,598.00 | |
Emblem Health
| Facility | $92,352.60 | $92,352.60 | $112,142.44 | |
Martin's Point
| Facility | $50,542.30 | $91,629.60 | $123,828.00 | |
UPMC Health Plan
| Facility | $2,621.40 | $41,457.46 | $60,471.66 | |
United
| Facility | $26,066.99 | $70,645.98 | $128,143.57 |