| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $278.00 | $2,791.00 | $7,629.00 | |
Capital Blue Cross
| Facility | $5,058.35 | $6,182.00 | $17,094.48 | |
Highmark BCBS
| Facility | $1,062.64 | $1,431.39 | $4,494.27 | |
Martin's Point
| Facility | $655.00 | $3,623.00 | $7,799.00 | |
UPMC Health Plan
| Facility | $156.16 | $156.16 | $224.50 | |
United
| Facility | $162.00 | $577.00 | $3,742.00 |