| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,054.00 | $4,894.00 | $9,907.00 | |
Capital Blue Cross
| Facility | $8,639.91 | $11,851.00 | $28,970.26 | |
Highmark BCBS
| Facility | $5,527.46 | $12,495.40 | $36,240.40 | |
Martin's Point
| Facility | $1,297.81 | $5,424.00 | $10,247.00 | |
UPMC Health Plan
| Facility | $909.41 | $909.41 | $1,142.92 | |
United
| Facility | $1,718.00 | $3,742.00 | $6,885.00 |