| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $315.47 | $2,954.00 | $8,113.00 | |
Capital Blue Cross
| Facility | $5,058.35 | $6,182.00 | $17,094.48 | |
Highmark BCBS
| Facility | $3,226.14 | $6,908.53 | $11,826.17 | |
Martin's Point
| Facility | $657.00 | $3,552.00 | $8,451.00 | |
UPMC Health Plan
| Facility | $203.80 | $212.36 | $212.36 | |
United
| Facility | $1,334.00 | $2,824.00 | $5,678.00 |