| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,177.66 | $4,993.00 | $10,247.00 | |
Capital Blue Cross
| Facility | $8,639.91 | $11,851.00 | $28,970.26 | |
Highmark BCBS
| Facility | $11,850.90 | $13,212.28 | $49,061.86 | |
Martin's Point
| Facility | $1,151.00 | $5,350.00 | $10,247.00 | |
UPMC Health Plan
| Facility | $998.81 | $1,063.79 | $1,063.79 | |
United
| Facility | $2,332.00 | $3,914.00 | $7,000.00 |