| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $832.00 | $2,747.00 | $8,017.00 | |
Capital Blue Cross
| Facility | $3,736.00 | $4,444.00 | $15,949.31 | |
Highmark BCBS
| Facility | $1,365.43 | $1,365.43 | $1,365.43 | |
Martin's Point
| Facility | $934.00 | $3,389.00 | $8,017.00 | |
UPMC Health Plan
| Facility | $396.54 | $396.54 | $540.39 | |
United
| Facility | $637.00 | $2,391.00 | $4,789.00 |