| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $832.00 | $4,304.00 | $8,404.00 | |
Capital Blue Cross
| Facility | $5,800.00 | $11,479.00 | $17,952.00 | |
Highmark BCBS
| Facility | $14,173.95 | $14,173.95 | $14,173.95 | |
Martin's Point
| Facility | $1,013.00 | $4,761.00 | $8,404.00 | |
UPMC Health Plan
| Facility | $584.11 | $584.11 | $610.67 | |
United
| Facility | $2,332.00 | $3,914.00 | $7,000.00 |