| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $638.01 | $3,748.00 | $7,320.06 | |
Capital Blue Cross
| Facility | $2,800.00 | $5,951.00 | $8,887.00 | |
Highmark BCBS
| Facility | $1,030.80 | $2,798.80 | $11,631.56 | |
Martin's Point
| Facility | $655.00 | $3,795.62 | $7,799.00 | |
UPMC Health Plan
| Facility | $360.05 | $362.35 | $362.35 | |
United
| Facility | $1,175.00 | $2,824.00 | $4,815.00 |