| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $540.00 | $2,371.00 | $7,799.00 | |
Capital Blue Cross
| Facility | $2,450.00 | $5,951.00 | $8,887.00 | |
Highmark BCBS
| Facility | $776.47 | $2,294.82 | $11,555.01 | |
Martin's Point
| Facility | $617.00 | $2,326.00 | $8,017.00 | |
UPMC Health Plan
| Facility | $480.41 | $480.41 | $507.74 | |
United
| Facility | $1,334.00 | $2,824.00 | $5,678.00 |