| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,013.00 | $6,012.00 | $10,121.00 | |
Capital Blue Cross
| Facility | $13,531.00 | $27,840.00 | $46,480.74 | |
Highmark BCBS
| Facility | $12,043.08 | $15,484.57 | $19,077.13 | |
Martin's Point
| Facility | $1,279.65 | $6,014.00 | $11,083.00 | |
UPMC Health Plan
| Facility | $361.79 | $414.70 | $5,613.65 | |
United
| Facility | $3,340.00 | $7,000.00 | $12,076.00 |