| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $768.00 | $5,600.00 | $9,452.96 | |
Capital Blue Cross
| Facility | $2,800.00 | $7,463.00 | $11,048.00 | |
Highmark BCBS
| Facility | $2,634.27 | $8,615.91 | $15,818.34 | |
Martin's Point
| Facility | $768.00 | $4,828.00 | $9,313.76 | |
UPMC Health Plan
| Facility | $328.88 | $328.88 | $423.92 | |
United
| Facility | $2,155.00 | $3,475.00 | $6,000.00 |