| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $810.00 | $4,264.00 | $8,240.00 | |
Capital Blue Cross
| Facility | $5,058.35 | $6,182.00 | $17,094.48 | |
Highmark BCBS
| Facility | $5,449.45 | $16,537.75 | $20,637.66 | |
Martin's Point
| Facility | $976.00 | $4,761.00 | $8,240.00 | |
UPMC Health Plan
| Facility | $375.70 | $448.40 | $448.40 | |
United
| Facility | $1,175.00 | $2,824.00 | $4,815.00 |