Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $225.50 / $296.52 / $435.07	Facility	54	$225.50	$296.52	$435.07
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $383.22 / $383.22 / $383.22	Facility	54	$383.22	$383.22	$383.22
Excellus BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $261.95 / $261.95 / $261.95	Facility	54	$261.95	$261.95	$261.95
MVP Health Care Facility/Professional Facility Modifier 54 Low / Median / High Price $383.22 / $383.22 / $383.22	Facility	54	$383.22	$383.22	$383.22
Univera Facility/Professional Facility Modifier 54 Low / Median / High Price $261.95 / $306.70 / $306.70	Facility	54	$261.95	$306.70	$306.70