| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $832.00 | $3,839.00 | $8,104.00 | |
Capital Blue Cross
| Facility | $5,058.35 | $6,182.00 | $17,094.48 | |
Highmark BCBS
| Facility | $1,807.51 | $7,762.55 | $18,355.58 | |
Martin's Point
| Facility | $937.00 | $4,070.00 | $8,017.00 | |
UPMC Health Plan
| Facility | $408.70 | $475.74 | $493.14 | |
United
| Facility | $1,334.00 | $2,824.00 | $5,678.00 |