Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $253.87 / $333.11 / $474.20	Facility	54	$253.87	$333.11	$474.20
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $413.00 / $413.00 / $413.00	Facility	54	$413.00	$413.00	$413.00
Excellus BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $285.35 / $285.35 / $285.35	Facility	54	$285.35	$285.35	$285.35
MVP Health Care Facility/Professional Facility Modifier 54 Low / Median / High Price $413.00 / $413.00 / $413.00	Facility	54	$413.00	$413.00	$413.00
Univera Facility/Professional Facility Modifier 54 Low / Median / High Price $285.35 / $332.75 / $332.75	Facility	54	$285.35	$332.75	$332.75