| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $882.00 | $2,868.00 | $8,017.00 | |
Capital Blue Cross
| Facility | $13,531.00 | $27,840.00 | $46,480.74 | |
Highmark BCBS
| Facility | $26,027.86 | $27,443.35 | $35,285.67 | |
Martin's Point
| Facility | $934.00 | $3,389.00 | $8,017.00 | |
UPMC Health Plan
| Facility | $731.40 | $731.40 | $1,096.00 | |
United
| Facility | $3,340.00 | $6,573.00 | $11,238.00 |