| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,020.00 | $3,839.00 | $8,247.00 | |
Capital Blue Cross
| Facility | $13,531.00 | $27,840.00 | $46,480.74 | |
Highmark BCBS
| Facility | $11,418.22 | $11,418.22 | $11,418.22 | |
Martin's Point
| Facility | $1,013.00 | $4,761.00 | $8,247.00 | |
UPMC Health Plan
| Facility | $935.85 | $935.85 | $1,054.84 | |
United
| Facility | $3,029.00 | $7,000.00 | $17,398.83 |