| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $594.00 | $5,342.00 | $13,947.00 | |
Capital Blue Cross
| Facility | $13,531.00 | $27,840.00 | $46,480.74 | |
Highmark BCBS
| Facility | $1,343.64 | $1,343.64 | $1,343.64 | |
Martin's Point
| Facility | $1,013.00 | $5,342.00 | $13,947.00 | |
UPMC Health Plan
| Facility | $248.09 | $248.09 | $280.43 | |
United
| Facility | $3,742.00 | $9,438.00 | $20,021.00 |