| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $939.50 | $4,761.00 | $13,145.00 | |
Capital Blue Cross
| Facility | $13,531.00 | $27,840.00 | $46,480.74 | |
Highmark BCBS
| Facility | $3,542.00 | $5,380.72 | $33,618.66 | |
Martin's Point
| Facility | $1,013.00 | $5,526.00 | $10,527.00 | |
UPMC Health Plan
| Facility | $787.86 | $787.86 | $1,073.77 | |
United
| Facility | $3,340.00 | $7,000.00 | $12,076.00 |