| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $573.17 | $3,623.00 | $7,799.00 | |
Capital Blue Cross
| Facility | $6,431.95 | $7,827.00 | $19,139.18 | |
Highmark BCBS
| Facility | $4,774.39 | $4,774.39 | $11,631.56 | |
Martin's Point
| Facility | $657.00 | $3,838.00 | $8,017.00 | |
UPMC Health Plan
| Facility | $379.59 | $379.59 | $533.61 | |
United
| Facility | $1,334.00 | $2,824.00 | $5,678.00 |