| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $321.12 | $3,964.00 | $8,704.15 | |
Capital Blue Cross
| Facility | $2,450.00 | $5,951.00 | $8,887.00 | |
Highmark BCBS
| Facility | $2,579.76 | $7,618.17 | $14,114.42 | |
Martin's Point
| Facility | $479.03 | $3,712.00 | $8,609.00 | |
UPMC Health Plan
| Facility | $290.74 | $334.47 | $384.07 | |
United
| Facility | $1,175.00 | $2,824.00 | $4,815.00 |