| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $174.47 | $1,926.00 | $8,017.00 | |
Capital Blue Cross
| Facility | $3,736.00 | $4,444.00 | $15,949.31 | |
Highmark BCBS
| Facility | $2,294.82 | $3,422.36 | $9,353.75 | |
Martin's Point
| Facility | $356.28 | $2,070.00 | $8,017.00 | |
UPMC Health Plan
| Facility | $82.24 | $87.35 | $162.86 | |
United
| Facility | $814.00 | $2,391.00 | $4,789.00 |