| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $676.08 | $5,128.61 | $9,549.93 | |
Capital Blue Cross
| Facility | $9,549.93 | $10,000.00 | $57,543.99 | |
Highmark BCBS
| Facility | $3,235.94 | $13,182.57 | $28,183.83 | |
Martin's Point
| Facility | $724.44 | $4,265.80 | $8,709.64 | |
UPMC Health Plan
| Facility | $389.05 | $389.05 | $1,819.70 | |
United
| Facility | $2,454.71 | $5,495.41 | $25,703.96 |