| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,426.00 | $4,761.00 | $8,451.00 | |
Capital Blue Cross
| Facility | $13,531.00 | $27,840.00 | $46,480.74 | |
Highmark BCBS
| Facility | $2,975.13 | $5,193.74 | $26,441.70 | |
Martin's Point
| Facility | $1,151.00 | $5,350.00 | $9,617.00 | |
UPMC Health Plan
| Facility | $1,300.48 | $1,300.48 | $1,532.66 | |
United
| Facility | $625.00 | $2,391.00 | $6,322.00 |