| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,013.00 | $6,160.71 | $17,278.29 | |
Capital Blue Cross
| Facility | $6,431.95 | $7,827.00 | $19,139.18 | |
Highmark BCBS
| Facility | $4,396.53 | $13,518.53 | $33,145.83 | |
Martin's Point
| Facility | $1,054.00 | $5,470.00 | $13,971.20 | |
UPMC Health Plan
| Facility | $826.75 | $826.75 | $965.94 | |
United
| Facility | $2,155.00 | $3,475.00 | $6,000.00 |