| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,426.00 | $4,761.00 | $9,534.00 | |
Capital Blue Cross
| Facility | $8,639.91 | $11,851.00 | $28,970.26 | |
Highmark BCBS
| Facility | $19,212.31 | $24,981.03 | $33,135.82 | |
Martin's Point
| Facility | $1,301.00 | $5,079.00 | $9,830.00 | |
UPMC Health Plan
| Facility | $1,340.59 | $1,340.59 | $1,410.42 | |
United
| Facility | $2,304.00 | $4,563.00 | $8,261.00 |