| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,884.03 | $2,884.03 | $2,884.03 | |
Capital Blue Cross
| Facility | $2,570.40 | $2,570.40 | $2,570.40 | |
Highmark BCBS
| Facility | $58.88 | $416.87 | $1,659.59 | |
Martin's Point
| Facility | $2,884.03 | $2,884.03 | $2,884.03 | |
UPMC Health Plan
| Facility | $144.54 | $144.54 | $144.54 | |
United
| Facility | $2,041.74 | $10,232.93 | $18,197.01 |