| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $594.00 | $4,122.00 | $8,509.00 | |
Capital Blue Cross
| Facility | $8,639.91 | $11,851.00 | $57,255.43 | |
Highmark BCBS
| Facility | $3,206.05 | $14,519.81 | $45,288.54 | |
Martin's Point
| Facility | $810.00 | $4,761.00 | $9,211.00 | |
UPMC Health Plan
| Facility | $360.35 | $360.35 | $384.92 | |
United
| Facility | $2,304.00 | $4,584.00 | $9,631.00 |