| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $652.00 | $2,747.00 | $8,017.00 | |
Capital Blue Cross
| Facility | $2,800.00 | $7,463.00 | $11,048.00 | |
Highmark BCBS
| Facility | $10,676.87 | $10,676.87 | $13,534.70 | |
Martin's Point
| Facility | $760.00 | $2,679.00 | $8,017.00 | |
UPMC Health Plan
| Facility | $270.38 | $270.38 | $418.73 | |
United
| Facility | $1,334.00 | $2,824.00 | $5,678.00 |