| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,499.00 | $5,254.00 | $10,398.00 | |
Capital Blue Cross
| Facility | $8,639.91 | $11,851.00 | $28,970.26 | |
Highmark BCBS
| Facility | $12,495.40 | $12,495.40 | $18,170.90 | |
Martin's Point
| Facility | $1,426.00 | $5,526.00 | $11,043.00 | |
UPMC Health Plan
| Facility | $1,373.99 | $1,373.99 | $1,447.50 | |
United
| Facility | $2,332.00 | $3,914.00 | $7,000.00 |