| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $768.00 | $3,623.00 | $7,799.00 | |
Capital Blue Cross
| Facility | $6,431.95 | $7,827.00 | $19,139.18 | |
Highmark BCBS
| Facility | $6,077.40 | $6,077.40 | $6,077.40 | |
Martin's Point
| Facility | $954.00 | $3,839.00 | $8,017.00 | |
UPMC Health Plan
| Facility | $329.43 | $400.08 | $1,496.63 | |
United
| Facility | $2,222.00 | $3,475.00 | $6,000.00 |