| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $655.00 | $3,745.00 | $8,017.00 | |
Capital Blue Cross
| Facility | $2,800.00 | $7,463.00 | $11,048.00 | |
Highmark BCBS
| Facility | $2,408.63 | $6,884.08 | $12,418.56 | |
Martin's Point
| Facility | $749.00 | $3,839.00 | $8,017.00 | |
UPMC Health Plan
| Facility | $478.25 | $478.25 | $638.63 | |
United
| Facility | $1,781.00 | $4,300.00 | $11,100.87 |