| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,013.00 | $4,894.00 | $8,933.00 | |
Capital Blue Cross
| Facility | $8,639.91 | $11,851.00 | $28,970.26 | |
Highmark BCBS
| Facility | $2,108.11 | $2,108.11 | $2,108.11 | |
Martin's Point
| Facility | $1,151.00 | $5,424.00 | $10,247.00 | |
UPMC Health Plan
| Facility | $815.18 | $815.18 | $902.37 | |
United
| Facility | $2,304.00 | $4,563.00 | $8,261.00 |