| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $806.00 | $2,505.00 | $8,017.00 | |
Capital Blue Cross
| Facility | $13,531.00 | $27,840.00 | $46,480.74 | |
Highmark BCBS
| Facility | $8,254.40 | $43,328.43 | $64,063.27 | |
Martin's Point
| Facility | $669.75 | $2,578.00 | $8,017.00 | |
UPMC Health Plan
| Facility | $735.05 | $735.05 | $1,290.07 | |
United
| Facility | $3,742.00 | $6,911.00 | $12,841.00 |