| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,412.54 | $6,606.93 | $13,182.57 | |
Capital Blue Cross
| Facility | $20,417.38 | $21,379.62 | $57,543.99 | |
Highmark BCBS
| Facility | $12,022.64 | $15,488.17 | $19,054.61 | |
Martin's Point
| Facility | $1,122.02 | $6,165.95 | $10,964.78 | |
UPMC Health Plan
| Facility | $309.03 | $1,445.44 | $5,623.41 | |
United
| Facility | $3,311.31 | $7,943.28 | $17,378.01 |