| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.00 | $2,747.00 | $8,247.00 | |
Capital Blue Cross
| Facility | $5,058.35 | $6,182.00 | $17,094.48 | |
Highmark BCBS
| Facility | $5,717.28 | $7,376.92 | $8,686.41 | |
Martin's Point
| Facility | $832.00 | $3,120.00 | $8,017.00 | |
UPMC Health Plan
| Facility | $189.79 | $189.79 | $215.77 | |
United
| Facility | $2,222.00 | $3,475.00 | $6,000.00 |