Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $562.34 / $562.34 / $562.34	Facility	54	$562.34	$562.34	$562.34
Excellus BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $389.05 / $389.05 / $389.05	Facility	54	$389.05	$389.05	$389.05
Univera Facility/Professional Facility Modifier 54 Low / Median / High Price $302.00 / $331.13 / $446.68	Facility	54	$302.00	$331.13	$446.68