| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,412.54 | $6,025.60 | $10,471.29 | |
Capital Blue Cross
| Facility | $20,417.38 | $21,379.62 | $57,543.99 | |
Highmark BCBS
| Facility | $10,715.19 | $10,715.19 | $10,715.19 | |
Martin's Point
| Facility | $1,122.02 | $5,248.07 | $10,471.29 | |
UPMC Health Plan
| Facility | $489.78 | $707.95 | $1,737.80 | |
United
| Facility | $2,454.71 | $5,495.41 | $16,982.44 |