| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,226.06 | $6,892.47 | $18,450.80 | |
Capital Blue Cross
| Facility | $8,639.91 | $11,851.00 | $28,970.26 | |
Highmark BCBS
| Facility | $5,504.80 | $14,869.60 | $25,648.42 | |
Martin's Point
| Facility | $1,226.06 | $6,000.00 | $15,169.39 | |
UPMC Health Plan
| Facility | $753.34 | $763.10 | $763.10 | |
United
| Facility | $2,304.00 | $4,563.00 | $8,261.00 |