| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $548.32 | $1,926.00 | $7,197.00 | |
Capital Blue Cross
| Facility | $3,736.00 | $4,444.00 | $15,949.31 | |
Highmark BCBS
| Facility | $6,322.61 | $6,322.61 | $6,322.61 | |
Martin's Point
| Facility | $617.00 | $2,326.00 | $8,017.00 | |
UPMC Health Plan
| Facility | $409.58 | $450.93 | $522.44 | |
United
| Facility | $1,334.00 | $2,824.00 | $5,678.00 |