| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $126.68 | $1,960.80 | $6,432.00 | |
Capital Blue Cross
| Facility | $5,058.35 | $6,182.00 | $17,094.48 | |
Highmark BCBS
| Facility | $1,568.52 | $2,680.22 | $6,169.02 | |
Martin's Point
| Facility | $228.95 | $1,978.00 | $7,799.00 | |
UPMC Health Plan
| Facility | $95.09 | $96.87 | $150.91 | |
United
| Facility | $814.00 | $2,391.00 | $4,789.00 |