Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $354.87 / $456.26 / $650.71	Facility	54	$354.87	$456.26	$650.71
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $567.41 / $567.41 / $567.41	Facility	54	$567.41	$567.41	$567.41
Excellus BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $388.25 / $388.25 / $388.25	Facility	54	$388.25	$388.25	$388.25
MVP Health Care Facility/Professional Facility Modifier 54 Low / Median / High Price $567.41 / $567.41 / $567.41	Facility	54	$567.41	$567.41	$567.41
Univera Facility/Professional Facility Modifier 54 Low / Median / High Price $388.25 / $453.89 / $453.89	Facility	54	$388.25	$453.89	$453.89