| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $749.00 | $3,627.00 | $8,017.00 | |
Capital Blue Cross
| Facility | $6,431.95 | $7,827.00 | $19,139.18 | |
Highmark BCBS
| Facility | $5,063.14 | $5,063.14 | $10,013.25 | |
Martin's Point
| Facility | $768.00 | $3,839.00 | $8,017.00 | |
UPMC Health Plan
| Facility | $206.53 | $206.53 | $288.83 | |
United
| Facility | $814.00 | $2,391.00 | $4,789.00 |