| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $309.85 | $4,845.00 | $9,215.91 | |
Capital Blue Cross
| Facility | $6,431.95 | $7,827.00 | $19,139.18 | |
Highmark BCBS
| Facility | $3,523.93 | $8,120.89 | $15,803.80 | |
Martin's Point
| Facility | $655.00 | $4,828.00 | $9,215.91 | |
UPMC Health Plan
| Facility | $205.20 | $205.20 | $254.42 | |
United
| Facility | $1,334.00 | $2,824.00 | $5,678.00 |