| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,355.72 | $4,989.00 | $9,534.00 | |
Capital Blue Cross
| Facility | $8,639.91 | $11,851.00 | $28,970.26 | |
Highmark BCBS
| Facility | $24,458.65 | $24,458.65 | $24,458.65 | |
Martin's Point
| Facility | $1,301.00 | $5,342.00 | $9,830.00 | |
UPMC Health Plan
| Facility | $1,234.22 | $1,234.22 | $1,279.33 | |
United
| Facility | $2,304.00 | $4,563.00 | $8,261.00 |