| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $832.00 | $3,964.00 | $10,638.00 | |
Capital Blue Cross
| Facility | $6,431.95 | $7,827.00 | $19,139.18 | |
Highmark BCBS
| Facility | $3,753.02 | $10,670.60 | $28,752.66 | |
Martin's Point
| Facility | $973.48 | $4,073.00 | $9,534.00 | |
UPMC Health Plan
| Facility | $701.05 | $701.05 | $766.21 | |
United
| Facility | $2,332.00 | $3,914.00 | $7,000.00 |