| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,020.00 | $5,350.00 | $11,083.00 | |
Capital Blue Cross
| Facility | $13,531.00 | $27,840.00 | $57,255.43 | |
Highmark BCBS
| Facility | $16,535.45 | $16,535.45 | $26,895.76 | |
Martin's Point
| Facility | $1,426.00 | $5,958.00 | $12,474.00 | |
UPMC Health Plan
| Facility | $440.65 | $440.65 | $613.10 | |
United
| Facility | $3,591.00 | $8,538.00 | $30,788.00 |