| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,283.77 | $4,894.00 | $8,933.00 | |
Capital Blue Cross
| Facility | $13,531.00 | $27,840.00 | $46,480.74 | |
Highmark BCBS
| Facility | $6,375.72 | $9,515.31 | $21,425.28 | |
Martin's Point
| Facility | $1,151.00 | $5,424.00 | $9,907.00 | |
UPMC Health Plan
| Facility | $1,167.54 | $1,167.54 | $1,167.54 | |
United
| Facility | $625.00 | $2,391.00 | $6,322.00 |