| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $115.00 | $115.00 | $190.00 | |
Cigna
| Facility | $55.00 | $75.00 | $175.00 | |
Highmark BCBS
| Facility | $33.53 | $33.53 | $72.23 | |
Martin's Point
| Facility | $115.00 | $115.00 | $190.00 | |
Priority Health
| Facility | $55.00 | $75.00 | $157.00 | |
UPMC Health Plan
| Facility | $104.00 | $104.00 | $167.64 |