| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $577.72 | $4,051.00 | $8,240.00 | |
Capital Blue Cross
| Facility | $13,531.00 | $27,840.00 | $46,480.74 | |
Highmark BCBS
| Facility | $1,379.28 | $1,379.28 | $61,185.65 | |
Martin's Point
| Facility | $701.31 | $4,534.00 | $8,247.00 | |
UPMC Health Plan
| Facility | $464.45 | $464.45 | $554.03 | |
United
| Facility | $3,742.00 | $8,870.00 | $20,021.00 |