| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $165.58 | $4,051.00 | $8,113.00 | |
Capital Blue Cross
| Facility | $13,531.00 | $27,840.00 | $46,480.74 | |
Highmark BCBS
| Facility | $1,517.65 | $2,910.04 | $10,215.04 | |
Martin's Point
| Facility | $760.00 | $4,761.00 | $8,247.00 | |
UPMC Health Plan
| Facility | $149.40 | $150.96 | $150.96 | |
United
| Facility | $625.00 | $2,391.00 | $6,322.00 |