| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $970.31 | $4,761.00 | $10,011.00 | |
Capital Blue Cross
| Facility | $5,800.00 | $11,479.00 | $17,952.00 | |
Highmark BCBS
| Facility | $4,340.75 | $15,603.37 | $35,111.54 | |
Martin's Point
| Facility | $1,013.00 | $4,832.00 | $9,531.00 | |
UPMC Health Plan
| Facility | $802.42 | $862.77 | $862.77 | |
United
| Facility | $2,304.00 | $4,563.00 | $8,261.00 |