| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $918.00 | $3,582.00 | $8,017.00 | |
Capital Blue Cross
| Facility | $6,431.95 | $7,827.00 | $19,139.18 | |
Highmark BCBS
| Facility | $49,347.98 | $49,347.98 | $49,347.98 | |
Martin's Point
| Facility | $934.00 | $3,389.00 | $8,017.00 | |
UPMC Health Plan
| Facility | $792.51 | $792.51 | $792.59 | |
United
| Facility | $1,781.00 | $4,789.00 | $20,990.00 |