| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $832.00 | $3,627.00 | $8,104.00 | |
Capital Blue Cross
| Facility | $6,431.95 | $7,827.00 | $19,139.18 | |
Highmark BCBS
| Facility | $2,574.48 | $4,806.39 | $7,285.12 | |
Martin's Point
| Facility | $954.00 | $4,068.00 | $8,247.00 | |
UPMC Health Plan
| Facility | $196.13 | $244.01 | $1,111.35 | |
United
| Facility | $2,222.00 | $3,475.00 | $6,000.00 |