| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $873.42 | $4,539.00 | $10,247.00 | |
Capital Blue Cross
| Facility | $6,431.95 | $7,827.00 | $19,139.18 | |
Highmark BCBS
| Facility | $2,595.03 | $10,427.06 | $22,160.59 | |
Martin's Point
| Facility | $921.00 | $4,993.00 | $10,281.90 | |
UPMC Health Plan
| Facility | $603.54 | $603.54 | $709.70 | |
United
| Facility | $2,155.00 | $3,475.00 | $6,000.00 |