| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,020.00 | $5,254.00 | $11,043.00 | |
Capital Blue Cross
| Facility | $6,431.95 | $7,827.00 | $19,139.18 | |
Highmark BCBS
| Facility | $12,495.40 | $18,979.09 | $79,092.33 | |
Martin's Point
| Facility | $1,301.00 | $5,526.00 | $11,185.63 | |
UPMC Health Plan
| Facility | $928.28 | $928.28 | $1,130.13 | |
United
| Facility | $1,334.00 | $2,824.00 | $5,678.00 |