| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,301.00 | $3,839.00 | $9,534.00 | |
Capital Blue Cross
| Facility | $13,531.00 | $27,840.00 | $46,480.74 | |
Highmark BCBS
| Facility | $4,094.68 | $6,535.31 | $21,469.94 | |
Martin's Point
| Facility | $1,013.00 | $4,761.00 | $8,451.00 | |
UPMC Health Plan
| Facility | $1,893.72 | $1,893.72 | $2,076.42 | |
United
| Facility | $2,222.00 | $3,475.00 | $6,000.00 |