| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76.09 | $83.09 | $246.77 | |
Capital Blue Cross
| Facility | $3,736.00 | $4,444.00 | $15,949.31 | |
Highmark BCBS
| Facility | $1,052.77 | $1,052.77 | $6,649.29 | |
Martin's Point
| Facility | $83.09 | $83.09 | $246.77 | |
UPMC Health Plan
| Facility | $69.93 | $81.72 | $106.44 | |
United
| Facility | $162.00 | $557.00 | $3,742.00 |