| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.00 | $3,748.00 | $8,017.00 | |
Capital Blue Cross
| Facility | $6,431.95 | $7,827.00 | $19,139.18 | |
Highmark BCBS
| Facility | $9,047.21 | $12,323.67 | $20,537.93 | |
Martin's Point
| Facility | $832.00 | $3,964.00 | $8,017.00 | |
UPMC Health Plan
| Facility | $444.99 | $444.99 | $516.61 | |
United
| Facility | $2,332.00 | $3,914.00 | $7,000.00 |