| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $832.00 | $2,747.00 | $8,113.00 | |
Capital Blue Cross
| Facility | $6,431.95 | $7,827.00 | $19,139.18 | |
Highmark BCBS
| Facility | $3,095.11 | $9,896.28 | $21,032.51 | |
Martin's Point
| Facility | $934.00 | $3,712.00 | $8,451.00 | |
UPMC Health Plan
| Facility | $93.34 | $791.49 | $1,290.03 | |
United
| Facility | $1,843.00 | $3,914.00 | $7,000.00 |