| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $932.98 | $4,304.00 | $8,427.00 | |
Capital Blue Cross
| Facility | $6,431.95 | $7,827.00 | $19,139.18 | |
Highmark BCBS
| Facility | $1,134.13 | $10,531.46 | $25,625.89 | |
Martin's Point
| Facility | $1,020.00 | $4,761.00 | $8,427.00 | |
UPMC Health Plan
| Facility | $759.18 | $759.18 | $838.08 | |
United
| Facility | $1,440.00 | $3,475.00 | $6,000.00 |