| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,020.00 | $4,993.00 | $10,510.00 | |
Capital Blue Cross
| Facility | $6,431.95 | $7,827.00 | $19,139.18 | |
Highmark BCBS
| Facility | $5,061.58 | $6,663.91 | $17,097.37 | |
Martin's Point
| Facility | $1,151.00 | $5,470.00 | $10,510.00 | |
UPMC Health Plan
| Facility | $979.69 | $979.69 | $1,083.57 | |
United
| Facility | $2,155.00 | $3,475.00 | $6,000.00 |