| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $190.55 | $190.55 | $190.55 | |
Oscar Health
| Facility | $1,288.25 | $1,288.25 | $2,398.83 |
Professional Fees (Extension of 096X and 097X)-Emergency Room
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $190.55 | $190.55 | $190.55 | |
Oscar Health
| Facility | $1,288.25 | $1,288.25 | $2,398.83 |