| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $446.09 | $3,964.00 | $9,553.77 | |
Capital Blue Cross
| Facility | $5,058.35 | $6,182.00 | $17,094.48 | |
Highmark BCBS
| Facility | $3,753.02 | $6,844.20 | $15,323.68 | |
Martin's Point
| Facility | $594.00 | $3,964.00 | $9,553.77 | |
UPMC Health Plan
| Facility | $285.88 | $310.06 | $320.52 | |
United
| Facility | $1,334.00 | $2,824.00 | $5,678.00 |