| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $872.00 | $4,894.00 | $8,933.00 | |
Capital Blue Cross
| Facility | $6,431.95 | $7,827.00 | $19,139.18 | |
Highmark BCBS
| Facility | $3,866.70 | $7,454.28 | $19,569.00 | |
Martin's Point
| Facility | $1,013.00 | $5,342.00 | $9,617.00 | |
UPMC Health Plan
| Facility | $497.76 | $497.76 | $624.02 | |
United
| Facility | $1,447.00 | $3,311.00 | $5,762.00 |