| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,013.00 | $5,254.00 | $10,398.00 | |
Capital Blue Cross
| Facility | $13,531.00 | $27,840.00 | $46,480.74 | |
Highmark BCBS
| Facility | $6,437.20 | $6,437.20 | $14,539.41 | |
Martin's Point
| Facility | $1,301.00 | $5,526.00 | $11,083.00 | |
UPMC Health Plan
| Facility | $678.25 | $678.25 | $781.98 | |
United
| Facility | $1,747.00 | $2,824.00 | $5,678.00 |