| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,020.00 | $5,511.00 | $11,022.00 | |
Capital Blue Cross
| Facility | $13,531.00 | $27,840.00 | $57,255.43 | |
Highmark BCBS
| Facility | $31,332.81 | $31,332.81 | $31,332.81 | |
Martin's Point
| Facility | $1,301.00 | $5,958.00 | $12,474.00 | |
UPMC Health Plan
| Facility | $464.36 | $464.36 | $464.36 | |
United
| Facility | $3,742.00 | $10,675.00 | $30,788.00 |