| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,096.48 | $4,786.30 | $9,549.93 | |
Capital Blue Cross
| Facility | $20,417.38 | $21,379.62 | $57,543.99 | |
Highmark BCBS
| Facility | $28,183.83 | $28,183.83 | $28,183.83 | |
Martin's Point
| Facility | $1,023.29 | $3,981.07 | $8,511.38 | |
UPMC Health Plan
| Facility | $457.09 | $457.09 | $501.19 | |
United
| Facility | $3,890.45 | $10,715.19 | $33,884.42 |