| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $268.49 | $3,839.00 | $8,017.00 | |
Capital Blue Cross
| Facility | $2,450.00 | $5,951.00 | $8,887.00 | |
Highmark BCBS
| Facility | $2,458.76 | $6,617.65 | $14,637.00 | |
Martin's Point
| Facility | $652.00 | $3,839.00 | $8,035.02 | |
UPMC Health Plan
| Facility | $177.81 | $177.81 | $247.27 | |
United
| Facility | $1,334.00 | $2,824.00 | $5,678.00 |