| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,355.76 | $4,597.00 | $8,451.00 | |
Capital Blue Cross
| Facility | $8,639.91 | $11,851.00 | $28,970.26 | |
Highmark BCBS
| Facility | $9,373.04 | $9,373.04 | $9,373.04 | |
Martin's Point
| Facility | $1,020.00 | $4,831.00 | $8,427.00 | |
UPMC Health Plan
| Facility | $1,098.83 | $1,098.83 | $1,609.10 | |
United
| Facility | $2,304.00 | $4,584.00 | $9,631.00 |