| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $185.12 | $185.12 | $185.12 | |
Oscar Health
| Facility | $1,274.00 | $1,663.61 | $1,663.61 |
Professional Fees (Extension of 096X and 097X)-Emergency Room
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $185.12 | $185.12 | $185.12 | |
Oscar Health
| Facility | $1,274.00 | $1,663.61 | $1,663.61 |