| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,544.00 | $5,430.95 | $10,600.00 | |
Capital Blue Cross
| Facility | $8,639.91 | $11,851.00 | $28,970.26 | |
Highmark BCBS
| Facility | $5,777.78 | $14,029.40 | $55,846.63 | |
Martin's Point
| Facility | $1,459.00 | $5,430.95 | $11,182.00 | |
UPMC Health Plan
| Facility | $1,449.03 | $1,449.03 | $1,550.78 | |
United
| Facility | $2,468.00 | $6,885.00 | $19,040.18 |