| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,013.00 | $5,254.00 | $10,527.00 | |
Capital Blue Cross
| Facility | $13,531.00 | $27,840.00 | $46,480.74 | |
Highmark BCBS
| Facility | $5,199.20 | $6,639.92 | $23,961.92 | |
Martin's Point
| Facility | $1,278.00 | $5,526.00 | $11,083.00 | |
UPMC Health Plan
| Facility | $943.52 | $943.52 | $1,035.89 | |
United
| Facility | $2,222.00 | $3,475.00 | $6,000.00 |