| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.47 | $153.38 | $9,775.00 | |
Capital Blue Cross
| Facility | $5,000.00 | $8,639.91 | $79,506.39 | |
Highmark BCBS
| Facility | $1,164.45 | $1,164.45 | $1,164.45 | |
Martin's Point
| Facility | $52.47 | $838.48 | $9,775.00 | |
UPMC Health Plan
| Facility | $25.70 | $45.37 | $306.70 | |
United
| Facility | $144.00 | $650.00 | $3,742.00 |