| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $428.00 | $2,667.00 | $8,322.60 | |
Capital Blue Cross
| Facility | $5,058.35 | $6,182.00 | $17,094.48 | |
Highmark BCBS
| Facility | $3,189.12 | $6,715.99 | $14,623.00 | |
Martin's Point
| Facility | $490.00 | $2,371.00 | $8,017.00 | |
UPMC Health Plan
| Facility | $287.57 | $324.91 | $324.91 | |
United
| Facility | $1,334.00 | $2,824.00 | $5,678.00 |