| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $467.98 | $2,747.00 | $8,247.00 | |
Capital Blue Cross
| Facility | $13,531.00 | $27,840.00 | $46,480.74 | |
Highmark BCBS
| Facility | $2,275.01 | $2,275.01 | $2,275.01 | |
Martin's Point
| Facility | $552.01 | $3,964.00 | $8,326.45 | |
UPMC Health Plan
| Facility | $378.23 | $378.23 | $405.00 | |
United
| Facility | $656.00 | $2,391.00 | $6,322.00 |