| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,242.65 | $5,254.00 | $10,527.00 | |
Capital Blue Cross
| Facility | $13,531.00 | $27,840.00 | $46,480.74 | |
Highmark BCBS
| Facility | $15,542.90 | $15,542.90 | $15,542.90 | |
Martin's Point
| Facility | $1,301.00 | $5,742.00 | $11,182.00 | |
UPMC Health Plan
| Facility | $1,132.14 | $1,132.14 | $1,271.96 | |
United
| Facility | $3,340.00 | $7,000.00 | $11,238.00 |