Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $300.23 / $397.04 / $569.76	Facility	54	$300.23	$397.04	$569.76
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $501.95 / $501.95 / $501.95	Facility	54	$501.95	$501.95	$501.95
Excellus BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $350.65 / $350.65 / $350.65	Facility	54	$350.65	$350.65	$350.65
MVP Health Care Facility/Professional Facility Modifier 54 Low / Median / High Price $501.95 / $501.95 / $501.95	Facility	54	$501.95	$501.95	$501.95
Univera Facility/Professional Facility Modifier 54 Low / Median / High Price $350.65 / $401.71 / $401.71	Facility	54	$350.65	$401.71	$401.71