| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $853.99 | $3,748.00 | $8,017.00 | |
Capital Blue Cross
| Facility | $6,431.95 | $7,827.00 | $19,139.18 | |
Highmark BCBS
| Facility | $9,994.79 | $9,994.79 | $13,866.25 | |
Martin's Point
| Facility | $853.99 | $4,068.00 | $8,017.00 | |
UPMC Health Plan
| Facility | $777.30 | $777.30 | $891.24 | |
United
| Facility | $2,155.00 | $3,475.00 | $6,000.00 |