Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $332.70 / $439.91 / $605.32	Facility	54	$332.70	$439.91	$605.32
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $528.79 / $528.79 / $528.79	Facility	54	$528.79	$528.79	$528.79
Excellus BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $368.18 / $368.18 / $368.18	Facility	54	$368.18	$368.18	$368.18
MVP Health Care Facility/Professional Facility Modifier 54 Low / Median / High Price $528.79 / $528.79 / $528.79	Facility	54	$528.79	$528.79	$528.79
Univera Facility/Professional Facility Modifier 54 Low / Median / High Price $368.18 / $427.23 / $427.23	Facility	54	$368.18	$427.23	$427.23