| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $323.59 | $2,041.74 | $6,606.93 | |
Capital Blue Cross
| Facility | $3,801.89 | $4,466.84 | $57,543.99 | |
Highmark BCBS
| Facility | $1,621.81 | $4,073.80 | $6,309.57 | |
Martin's Point
| Facility | $478.63 | $1,819.70 | $6,165.95 | |
UPMC Health Plan
| Facility | $12.59 | $109.65 | $363.08 | |
United
| Facility | $501.19 | $2,187.76 | $5,011.87 |