| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,320.73 | $7,278.00 | $15,074.51 | |
Capital Blue Cross
| Facility | $6,431.95 | $7,827.00 | $19,139.18 | |
Highmark BCBS
| Facility | $3,655.14 | $10,341.45 | $24,572.20 | |
Martin's Point
| Facility | $1,320.73 | $6,185.00 | $15,074.51 | |
UPMC Health Plan
| Facility | $913.10 | $913.10 | $1,062.77 | |
United
| Facility | $2,155.00 | $3,475.00 | $6,000.00 |