| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $555.59 | $2,180.00 | $7,567.23 | |
Capital Blue Cross
| Facility | $5,058.35 | $6,182.00 | $17,094.48 | |
Highmark BCBS
| Facility | $1,112.89 | $1,931.91 | $9,386.00 | |
Martin's Point
| Facility | $652.00 | $2,675.00 | $8,017.00 | |
UPMC Health Plan
| Facility | $488.08 | $535.54 | $639.33 | |
United
| Facility | $912.00 | $2,391.00 | $4,789.00 |