| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $480.00 | $3,340.00 | $13,251.27 | |
Capital Blue Cross
| Facility | $5,000.00 | $8,639.91 | $79,506.39 | |
Highmark BCBS
| Facility | $1,160.18 | $2,254.92 | $7,164.68 | |
Martin's Point
| Facility | $574.29 | $3,340.00 | $12,227.00 | |
UPMC Health Plan
| Facility | $200.90 | $200.90 | $684.84 | |
United
| Facility | $144.00 | $650.00 | $9,963.00 |