| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $657.00 | $3,120.00 | $8,451.00 | |
Capital Blue Cross
| Facility | $5,058.35 | $6,182.00 | $17,094.48 | |
Highmark BCBS
| Facility | $3,072.74 | $10,101.77 | $18,499.24 | |
Martin's Point
| Facility | $832.00 | $3,724.00 | $8,427.00 | |
UPMC Health Plan
| Facility | $278.20 | $278.20 | $378.75 | |
United
| Facility | $1,334.00 | $2,824.00 | $5,678.00 |