| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $600.70 | $4,761.00 | $9,676.00 | |
Capital Blue Cross
| Facility | $5,058.35 | $6,182.00 | $17,094.48 | |
Highmark BCBS
| Facility | $10,722.86 | $10,722.86 | $10,722.86 | |
Martin's Point
| Facility | $1,020.00 | $5,342.00 | $10,527.00 | |
UPMC Health Plan
| Facility | $654.47 | $654.47 | $772.44 | |
United
| Facility | $1,334.00 | $2,824.00 | $5,678.00 |