| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $426.92 | $3,803.10 | $8,451.00 | |
Capital Blue Cross
| Facility | $23,765.15 | $46,478.00 | $77,850.02 | |
Highmark BCBS
| Facility | $4,576.68 | $4,576.68 | $4,576.68 | |
Martin's Point
| Facility | $500.54 | $3,964.00 | $10,527.00 | |
UPMC Health Plan
| Facility | $282.73 | $282.73 | $774.25 | |
United
| Facility | $162.00 | $1,606.00 | $33,267.00 |