| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $768.00 | $3,689.00 | $8,017.00 | |
Capital Blue Cross
| Facility | $13,531.00 | $27,840.00 | $46,480.74 | |
Highmark BCBS
| Facility | $25,977.86 | $25,977.86 | $32,223.32 | |
Martin's Point
| Facility | $925.55 | $3,839.00 | $8,017.00 | |
UPMC Health Plan
| Facility | $517.46 | $517.46 | $837.33 | |
United
| Facility | $3,340.00 | $7,000.00 | $11,238.00 |