| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $926.00 | $4,264.00 | $8,240.00 | |
Capital Blue Cross
| Facility | $6,431.95 | $7,827.00 | $19,139.18 | |
Highmark BCBS
| Facility | $4,348.77 | $6,295.28 | $9,891.25 | |
Martin's Point
| Facility | $1,013.00 | $4,597.00 | $8,240.00 | |
UPMC Health Plan
| Facility | $282.87 | $282.87 | $405.93 | |
United
| Facility | $1,334.00 | $2,824.00 | $5,678.00 |