| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,020.00 | $5,526.00 | $12,474.00 | |
Capital Blue Cross
| Facility | $13,531.00 | $27,840.00 | $57,255.43 | |
Highmark BCBS
| Facility | $23,371.53 | $27,369.08 | $47,048.23 | |
Martin's Point
| Facility | $1,426.00 | $6,193.00 | $16,843.00 | |
UPMC Health Plan
| Facility | $463.19 | $463.19 | $710.17 | |
United
| Facility | $3,591.00 | $8,538.00 | $30,788.00 |