Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $229.69 / $313.41 / $448.39	Facility	54	$229.69	$313.41	$448.39
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $392.80 / $392.80 / $392.80	Facility	54	$392.80	$392.80	$392.80
Excellus BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $277.66 / $277.66 / $277.66	Facility	54	$277.66	$277.66	$277.66
MVP Health Care Facility/Professional Facility Modifier 54 Low / Median / High Price $392.80 / $392.80 / $392.80	Facility	54	$392.80	$392.80	$392.80
Univera Facility/Professional Facility Modifier 54 Low / Median / High Price $277.66 / $316.48 / $316.48	Facility	54	$277.66	$316.48	$316.48