| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $921.00 | $4,993.00 | $10,247.00 | |
Capital Blue Cross
| Facility | $8,850.00 | $16,455.00 | $36,032.05 | |
Highmark BCBS
| Facility | $11,902.80 | $22,411.02 | $40,205.30 | |
Martin's Point
| Facility | $1,054.00 | $5,424.00 | $10,247.00 | |
UPMC Health Plan
| Facility | $718.91 | $718.91 | $1,036.64 | |
United
| Facility | $2,304.00 | $4,563.00 | $8,261.00 |