| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $324.19 | $324.19 | $324.19 | |
Oscar Health
| Facility | $3,230.19 | $3,230.19 | $3,230.19 |
Professional Fees (Extension of 096X and 097X)-Emergency Room
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $324.19 | $324.19 | $324.19 | |
Oscar Health
| Facility | $3,230.19 | $3,230.19 | $3,230.19 |