| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $888.10 | $4,264.00 | $8,451.00 | |
Capital Blue Cross
| Facility | $5,058.35 | $6,182.00 | $17,094.48 | |
Highmark BCBS
| Facility | $2,528.41 | $2,528.41 | $7,991.42 | |
Martin's Point
| Facility | $931.26 | $4,761.00 | $8,451.00 | |
UPMC Health Plan
| Facility | $616.73 | $616.73 | $655.35 | |
United
| Facility | $1,440.00 | $3,475.00 | $6,000.00 |