| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,248.99 | $4,761.00 | $9,534.00 | |
Capital Blue Cross
| Facility | $8,639.91 | $11,851.00 | $28,970.26 | |
Highmark BCBS
| Facility | $12,495.40 | $12,495.40 | $12,495.40 | |
Martin's Point
| Facility | $1,151.00 | $5,342.00 | $9,907.00 | |
UPMC Health Plan
| Facility | $1,136.10 | $1,136.10 | $1,406.64 | |
United
| Facility | $2,332.00 | $3,914.00 | $7,000.00 |