| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,177.08 | $5,868.00 | $17,059.72 | |
Capital Blue Cross
| Facility | $13,531.00 | $27,840.00 | $46,480.74 | |
Highmark BCBS
| Facility | $4,109.32 | $11,321.75 | $21,537.38 | |
Martin's Point
| Facility | $1,177.08 | $5,281.00 | $10,450.20 | |
UPMC Health Plan
| Facility | $1,162.04 | $1,162.04 | $1,200.81 | |
United
| Facility | $2,332.00 | $3,914.00 | $7,000.00 |