| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $921.00 | $4,894.00 | $10,247.00 | |
Capital Blue Cross
| Facility | $5,800.00 | $11,479.00 | $17,952.00 | |
Highmark BCBS
| Facility | $3,355.61 | $10,970.16 | $26,151.44 | |
Martin's Point
| Facility | $978.35 | $5,342.00 | $10,247.00 | |
UPMC Health Plan
| Facility | $670.90 | $670.90 | $798.53 | |
United
| Facility | $2,304.00 | $4,563.00 | $8,261.00 |