| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,519.00 | $4,990.00 | $10,600.00 | |
Capital Blue Cross
| Facility | $8,639.91 | $11,851.00 | $28,970.26 | |
Highmark BCBS
| Facility | $3,190.93 | $14,201.27 | $38,224.36 | |
Martin's Point
| Facility | $1,459.00 | $5,742.00 | $11,938.00 | |
UPMC Health Plan
| Facility | $1,477.31 | $1,477.31 | $1,613.76 | |
United
| Facility | $2,332.00 | $3,914.00 | $7,000.00 |