| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $882.00 | $4,761.00 | $8,933.00 | |
Capital Blue Cross
| Facility | $6,431.95 | $7,827.00 | $19,139.18 | |
Highmark BCBS
| Facility | $11,244.44 | $15,895.38 | $16,648.04 | |
Martin's Point
| Facility | $1,020.00 | $5,342.00 | $10,247.00 | |
UPMC Health Plan
| Facility | $882.31 | $882.31 | $1,006.52 | |
United
| Facility | $2,155.00 | $3,475.00 | $6,000.00 |