| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $747.48 | $5,084.97 | $10,696.00 | |
Capital Blue Cross
| Facility | $6,431.95 | $7,827.00 | $19,139.18 | |
Highmark BCBS
| Facility | $3,233.95 | $8,167.50 | $17,008.25 | |
Martin's Point
| Facility | $832.00 | $5,342.00 | $10,633.02 | |
UPMC Health Plan
| Facility | $495.02 | $495.02 | $653.23 | |
United
| Facility | $2,155.00 | $3,475.00 | $6,000.00 |