| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $540.00 | $4,203.43 | $9,271.68 | |
Capital Blue Cross
| Facility | $2,800.00 | $7,463.00 | $11,048.00 | |
Highmark BCBS
| Facility | $3,638.71 | $12,735.76 | $42,050.28 | |
Martin's Point
| Facility | $810.00 | $5,100.00 | $9,271.68 | |
UPMC Health Plan
| Facility | $207.51 | $207.51 | $256.68 | |
United
| Facility | $2,304.00 | $4,584.00 | $9,631.00 |