| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $882.00 | $2,747.00 | $8,104.00 | |
Capital Blue Cross
| Facility | $5,800.00 | $11,479.00 | $17,952.00 | |
Highmark BCBS
| Facility | $1,050.11 | $12,204.93 | $12,323.67 | |
Martin's Point
| Facility | $954.00 | $3,077.00 | $8,017.00 | |
UPMC Health Plan
| Facility | $633.67 | $686.49 | $686.49 | |
United
| Facility | $2,304.00 | $4,563.00 | $8,261.00 |