| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,047.13 | $4,786.30 | $8,317.64 | |
Capital Blue Cross
| Facility | $20,417.38 | $21,379.62 | $57,543.99 | |
Highmark BCBS
| Facility | $17,782.79 | $17,782.79 | $17,782.79 | |
Martin's Point
| Facility | $851.14 | $3,801.89 | $8,317.64 | |
UPMC Health Plan
| Facility | $123.03 | $309.03 | $331.13 | |
United
| Facility | $3,311.31 | $9,549.93 | $29,512.09 |