| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,013.00 | $4,676.00 | $8,509.00 | |
Capital Blue Cross
| Facility | $8,639.91 | $11,851.00 | $28,970.26 | |
Highmark BCBS
| Facility | $3,854.29 | $10,686.06 | $16,637.73 | |
Martin's Point
| Facility | $1,020.00 | $5,016.00 | $8,427.00 | |
UPMC Health Plan
| Facility | $694.04 | $694.04 | $788.74 | |
United
| Facility | $2,304.00 | $4,563.00 | $8,261.00 |