| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $170.80 | $2,747.00 | $8,017.00 | |
Capital Blue Cross
| Facility | $5,058.35 | $6,182.00 | $17,094.48 | |
Highmark BCBS
| Facility | $6,519.80 | $6,519.80 | $6,519.80 | |
Martin's Point
| Facility | $918.00 | $3,213.00 | $8,017.00 | |
UPMC Health Plan
| Facility | $178.61 | $187.89 | $187.89 | |
United
| Facility | $1,334.00 | $2,824.00 | $5,678.00 |