| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $882.00 | $4,304.00 | $8,240.00 | |
Capital Blue Cross
| Facility | $5,058.35 | $6,182.00 | $17,094.48 | |
Highmark BCBS
| Facility | $3,115.30 | $3,115.30 | $3,115.30 | |
Martin's Point
| Facility | $976.00 | $4,597.00 | $8,247.00 | |
UPMC Health Plan
| Facility | $296.13 | $296.13 | $481.07 | |
United
| Facility | $1,214.00 | $2,752.00 | $5,505.63 |