| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,040.92 | $3,839.00 | $8,404.00 | |
Capital Blue Cross
| Facility | $5,058.35 | $6,182.00 | $17,094.48 | |
Highmark BCBS
| Facility | $1,824.61 | $7,735.76 | $13,054.93 | |
Martin's Point
| Facility | $1,040.92 | $4,534.00 | $8,427.00 | |
UPMC Health Plan
| Facility | $837.43 | $837.43 | $891.47 | |
United
| Facility | $1,440.00 | $3,475.00 | $6,000.00 |