| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $976.00 | $5,350.00 | $10,331.57 | |
Capital Blue Cross
| Facility | $2,800.00 | $5,951.00 | $8,887.00 | |
Highmark BCBS
| Facility | $2,360.73 | $6,909.36 | $8,421.28 | |
Martin's Point
| Facility | $976.00 | $5,342.00 | $9,719.00 | |
UPMC Health Plan
| Facility | $342.80 | $342.80 | $438.29 | |
United
| Facility | $1,334.00 | $2,824.00 | $5,678.00 |