| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $336.99 | $3,839.00 | $12,285.46 | |
Capital Blue Cross
| Facility | $6,431.95 | $7,827.00 | $19,139.18 | |
Highmark BCBS
| Facility | $1,289.83 | $1,289.83 | $1,289.83 | |
Martin's Point
| Facility | $768.00 | $3,964.00 | $8,247.00 | |
UPMC Health Plan
| Facility | $367.19 | $367.19 | $372.88 | |
United
| Facility | $1,175.00 | $2,824.00 | $4,815.00 |