| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $348.10 | $4,264.00 | $8,451.00 | |
Capital Blue Cross
| Facility | $4,092.00 | $7,463.00 | $11,048.00 | |
Highmark BCBS
| Facility | $630.55 | $4,422.20 | $9,331.54 | |
Martin's Point
| Facility | $422.58 | $4,570.59 | $9,562.10 | |
UPMC Health Plan
| Facility | $237.15 | $237.15 | $400.59 | |
United
| Facility | $1,334.00 | $2,824.00 | $5,678.00 |