| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QY | $774.02 | $774.02 | $774.02 |
Aetna
| Professional | AA | $1,540.00 | $1,820.00 | $2,520.00 |
Highmark BCBS
| Professional | AA | $773.32 | $1,048.73 | $2,363.14 |
Highmark BCBS
| Professional | QZ | $649.54 | $649.54 | $658.56 |
Martin's Point
| Facility | QY | $774.02 | $774.02 | $774.02 |
Martin's Point
| Professional | AA | $1,344.60 | $1,820.00 | $2,520.00 |