| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,448.20 | $6,012.00 | $12,751.66 | |
Capital Blue Cross
| Facility | $8,639.91 | $11,851.00 | $28,970.26 | |
Highmark BCBS
| Facility | $2,888.89 | $11,630.66 | $25,074.70 | |
Martin's Point
| Facility | $1,448.20 | $6,193.00 | $12,474.00 | |
UPMC Health Plan
| Facility | $1,314.79 | $1,314.79 | $1,570.45 | |
United
| Facility | $2,332.00 | $3,914.00 | $7,000.00 |