| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,348.49 | $5,742.00 | $11,938.00 | |
Capital Blue Cross
| Facility | $8,639.91 | $11,851.00 | $28,970.26 | |
Highmark BCBS
| Facility | $5,545.30 | $8,497.32 | $13,890.54 | |
Martin's Point
| Facility | $1,426.00 | $6,193.00 | $12,474.00 | |
UPMC Health Plan
| Facility | $1,190.56 | $1,202.63 | $1,202.63 | |
United
| Facility | $1,843.00 | $3,914.00 | $8,243.00 |