Horizon Casualty Services, Inc. Ambulatory Surgery Centers

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1 New Jersey Atlantic County Atlantic Coastal, LLC 301 Central Avenue Suite A Egg Harbor Township, NJ Atlantic Gastro SurgicCenter, LLC 3205 Fire Road Suite 3 Egg Harbor Township, NJ AtlantiCare Regional 1925 Pacific Avenue Atlantic City, NJ West Jimmie Leeds Road Pomona, NJ AtlantiCare, LLC 2500 English Creek Road Building 700, Suite 702 Egg Harbor Township, NJ Horizon Laser and Eye Surgery 9701 Ventnor Ave Suite 201 Margate, NJ Jersey Shore Ambulatory Surgical Center 405 Bethel Road Somers Point, NJ Shore Memorial Hospital* 1 East New York Avenue Somers Point, NJ Bergen County AGBC Endoscopy Center 140 Sylvan Avenue Suite 101B Englewood Cliffs, NJ Bergen Gastroenterology, PC 466 Old Hook Road Emerson, NJ Bergen Passaic Cataract Surgery and Laser Center 1801 Pollitt Drive Suite 4 Fair Lawn, NJ Bergen Regional Medical Center 230 East Ridgewood Avenue Center for Cosmetic and Reconstructive Surgery 1 Sears Drive Endoscopy Center of Bergen County 80 Eisenhower Drive Englewood Endoscopic Associates 420 Grand Avenue Englewood, NJ Englewood Hospital and 350 Engle Street Englewood, NJ Forest Healthcare Associates, PC 277 Forest Avenue 2nd Floor, Suite Hackensack University 30 Prospect Avenue Hackensack, NJ Hasbrouck Heights 214 Terrace Avenue Hasbrouck Heights, NJ Holy Name Hospital* 718 Teaneck Road Teaneck, NJ Meadows 75 Orient Way Suite 101 Rutherford, NJ Metropolitan Medical Associates 40 Engle Street Englewood, NJ Metropolitan Surgical Center 433 Hackensack Avenue Suite LL1 Hackensack, NJ New Jersey Center for Ear Nose and Throat Disorders 301 Bridge Plaza North Fort Lee, NJ New Jersey Eye Center 1 North Washington Avenue Bergenfield, NJ Old Hook Medical Associates 452 Old Hook Road Emerson, NJ Ramapo Valley Surgical Center 500 North Franklin Turnpike Ramsey, NJ River Drive Surgery and Laser Center 619 River Drive 1st Floor Elmwood Park, NJ Saddle River Valley Surgical 1 West Ridgewood Avenue Suite G

2 Saint Mary s Ambulatory 540 Bergen Boulevard Palisades Park, NJ Scherl, Chessler, Zingler and Spinnell MD, PA 1555 Center Avenue Fort Lee, NJ SurgiCare Surgical Associates of Carlstadt 630 Broad Street Carlstadt, NJ SurgiCare Surgical Associates of Englewood Cliffs 630 East Palisade Avenue Englewood Cliffs, NJ SurgiCare Surgical Associates of Fairlawn Broadway Suites 1 and 3 Fair Lawn, NJ SurgiCare Surgical Associates of Oradell 555 Kinderkamack Road Oradell, NJ SurgiCare Surgical Associates of Ridgewood 1124 East Ridgewood Avenue Ridgewood, NJ The Valley Hospital* 223 North Van Dien Avenue Ridgewood, NJ Burlington County Burlington County Endoscopy 140 Mount Holly Bypass Unit 5 Lumberton, NJ Deborah Heart and Lung Center* 200 Trenton Road Browns Mills, NJ Cooper University Physicians 218C Sunset Road Willingboro, NJ Hand Surgery and Rehabilitiation Center of New Jersey, PA 5000 Sagemore Drive Suite 103 Marlton, NJ HealthSouth Surgical Center of South Jersey 130 Gaither Drive Suite 160 Mount Laurel, NJ Lourdes Medical Center of Burlington* 218A Sunset Road Willingboro, NJ Memorial Ambulatory 160 Madison Avenue Mount Holly, NJ Mount Laurel Endoscopy Center Midlantic Drive Suite 110 Mount Laurel, NJ Premier Surgical Center 1 Green Tree Center Suite 301 Marlton NJ Surgical Center at South Jersey Eye Physicians 509 South Lenola Road Suite 11B Moorestown, NJ Surgical Center of Burlington County 225 Sunset Road Willingboro, NJ Vantage Surgical Center 180 Route 70 Medford, NJ Virtua Health System* Virtua Marlton 90 Brick Road Marlton, NJ Virtua Memorial 175 Madison Avenue Mount Holly, NJ Camden County Centennial 502 Centennial Boulevard Suite Comcare Medical Center 1000 South Burntmills Road Suite B The Cooper Health System Outpatient Surgery 900 Centennial Boulevard Suite E Cooper University Hospital* 1 Cooper Plaza Camden, NJ The Endo Center at Voorhees, LLC 93 Cooper Road Suite

3 Hughes Center 1765 South Springdale Road Cherry Hill, NJ Kennedy Memorial Hospital* 18 East Laurel Road Stratford, NJ Chapel Avenue West Cherry Hill, NJ Hurffville Crosskeys Road Turnersville, NJ Our Lady of Lourdes 1600 Haddon Avenue Camden, NJ Summit Surgical Center, LLC 110 Carnie Boulevard Virtua Health System* Virtua Camden 1000 Atlantic Avenue Camden, NJ Virtua Berlin 100 Townsend Avenue Berlin, NJ Virtua Voorhees 100 Bowan Drive Wills of Cherry Hill 408 Route 70 East Cherry Hill, NJ Cape May County Cape Cataract Center 804 Route 9 South Cape May Court House, NJ Cape Regional 2 Stone Harbor Boulevard Cape May Court House, NJ Court House 106 South Dennisville Road Cape May Court House, NJ Cumberland County Ambulatory Care Center 1133 East Chestnut Avenue Bridgeton Health Center* 333 Irving Avenue Bridgeton, NJ Endoscopy Center of South Jersey 1505 West Sherman Avenue Eye Surgicenter of New Jersey 1205 North High Street Millville, NJ Oak and Main Surgicenter 907 North Main Road Building C South Jersey Healthcare Regional 1505 Sherman Avenue South Jersey Surgicenter 2835 South Delsea Drive Surgicenter of Vineland, LLC 251 South Lincoln Avenue Vineland, NJ Watts Plastic 1051 West Sherman Avenue Building 2, Suite A Essex County Clara Maass 1 Clara Maass Drive Belleville, NJ Diamond Center for Infertility and Menopause 89 Millburn Avenue Millburn, NJ East Orange General Hospital* 300 Central Avenue East Orange, NJ Essex Endoscopy Center, LLC 275 Chesnut Street Newark, NJ Essex Specialized Surgical Institute 475 Prospect Avenue West Orange, NJ Eye Institute of Essex Surgery Center 5 Franklin Avenue Suite 209 Belleville, NJ Glen Ridge Surgicenter 230 Sherman Avenue Glen Ridge, NJ Ironbound Endosurgical Center Merchant Street Newark, NJ Mountainside Hospital* 1 Bay Avenue Montclair, NJ

4 Horizon Casuaity Services, Inc. Newark Beth Israel 201 Lyons Avenue Newark, NJ North New Jersey Eye Institute 71 Second Street PO Box 487 South Orange, NJ Northfield Surgical Center 741 Northfield Avenue Suite 102 West Orange, NJ Saint Barnabas 94 Old Short Hills Road Livingston, NJ Saint Michael s 111 Central Avenue Newark, NJ Suburban Endoscopy 799 Bloomfield Avenue Verona, NJ The Stone Center of New Jersey 150 Bergen Street Newark, NJ The 200 South Orange Avenue Livingston, NJ The University Hospital* 150 Bergen Street Newark, NJ Gloucester County Advanced Surgical Institute 556 Egg Harbor Road Suite B Sewell, NJ Gastrointestinal Associates, PA 26 East Red Bank Avenue Woodbury, NJ Gloucester County 163 Bridgeton Pike Building B Mullica Hill, NJ Kennedy Surgical Center 540 Egg Harbor Road Sewell, NJ Select Surgical Center, LLC 405 Hurffville Crosskeys Road Sewell, NJ South Jersey Endoscopy, LLC 26 East Red Bank Avenue Woodbury, NJ Underwood Memorial Hospital* 509 North Broad Street Woodbury, NJ Virtua Center for Surgery 239 Hurffville Crosskeys Road Suite 180 Sewell, NJ Hudson County Ambulatory Center for Endoscopy 7600 River Road 4th Floor North Bergen, NJ Bayonne Hospital* 29th Street and Avenue E Bayonne, NJ Christ Hospital* 176 Palisade Avenue Jersey City, NJ Hoboken University 308 Willow Avenue Hoboken, NJ Liberty Ambulatory 377 Jersey Avenue Suite 510 Jersey City, NJ Pavonia Surgical Center 600 Pavonia Avenue 4th Floor Jersey City, NJ Peninsula, LLC 29 East 29th Street 4th Floor Bayonne, NJ SurgiCare Surgical Associates of Jersey City 631 Grand Avenue Jersey City, NJ Hunterdon County Hunterdon Center for Surgery 9100 Wescott Drive Suite 201 Flemington, NJ Hunterdon Endosurgery Center 1100 Westcott Drive Suite 204 Flemington, NJ Hunterdon 2100 Wescott Drive Flemington, NJ

5 Mercer County Campus Eye Group 1700 Whitehorse Hamilton Square Road Suite A-1 Hamilton Square, NJ Capital Health System* Fuld Campus 750 Brunswick Avenue Trenton, NJ Mercer Campus 446 Bellevue Avenue Trenton, NJ Gastro, LLC 2275 Whitehorse Mercerville Road Trenton, NJ Saint Francis 601 Hamilton Avenue Trenton, NJ Surgical Specialists of Princeton 136 Main Street Suite 100 Princeton Township, NJ at Hamilton 1445 Whitehorse Mercerville Road Hamilton, NJ University Medical Center at Princeton* 253 Witherspoon Street Princeton, NJ University Medical Center at Princeton Surgical Center 281 Witherspoon Street Princeton, NJ Middlesex County CARES Surgicenter, LLC 240 Easton Avenue New Brunswick, NJ Endo Surgi Center of Old Bridge 42 Throckmorton Lane Old Bridge, NJ Endosurgical Center of Central New Jersey, LLC 800 Ryders Lane East Brunswick, NJ JFK 65 James Street Edison, NJ May Street Surgi Center, LLC 205 May Street Suite 103 Edison, NJ Mediplex 98 James Street Suite 108 Edison, NJ Oak Tree 1931 Oak Tree Road Edison, NJ Raritan Bay 1 Hospital Plaza Old Bridge, NJ New Brunswick Avenue Perth Amboy, NJ Robert Wood Johnson University* 1 Robert Wood Johnson Place New Brunswick, NJ Saint Peter s University Hospital* 254 Easton Avenue New Brunswick, NJ of Central New Jersey 107 North Center Drive North Brunswick, NJ University Medical Center at Princeton ASC 5 Plainsboro Road Plainsboro, NJ University Surgicenter 561 Cranbury Road East Brunswick, NJ Monmouth County Advanced Endoscopy and, LLC 142 Route 35 Suite 101 Eatontown, NJ Atlantic 279 Third Avenue Suite 105 Long Branch, NJ Central Jersey 97 Corbett Way Eatontown, NJ CentraState 901 West Main Street Freehold, NJ Endoscopy Center of Red Bank 365 Broad Street Red Bank, NJ Freehold Endoscopy Center, LLC 222 Schanck Road Suite 100 Freehold, NJ Freehold Surgical Center, LLC 500 West Main Street Freehold, NJ

6 Jersey Shore University 1945 Highway 33 East Neptune, NJ Manalapan 50 Franklin Lane Manalapan, NJ Mid-Atlantic Eye Center 70 East Front Street 4th Floor Red Bank, NJ Monmouth 300 Second Avenue Long Branch, NJ Monmouth Surgi Center, Inc. 370 Highway 35 South Suite 102 Red Bank, NJ Ocean Surgical Pavilion 1907 Highway 35 North Suite 9 Oakhurst, NJ Ophthalmic Physicians of Monmouth 733 North Beers Street Holmdel, NJ Retina Consultants 39 Sycamore Avenue Little Silver, NJ Riverview 1 Riverview Plaza Red Bank, NJ Morris County Affiliated Ambulatory Surgical Center 182 South Street Suite 1 Morristown, NJ Atrium 195 Route 46 West Suite 202 Mine Hill, NJ Chilton Memorial Hospital* 97 West Parkway Pompton Plains, NJ Florham Park Endoscopy Center 195 Columbia Turnpike Florham Park, NJ Florham Park 83 Hanover Road Suite 100 Florham Park, NJ Hanover Endoscopy Center of New Jersey 91 South Jefferson Road Suite 300 Whippany, NJ Morristown Memorial Hospital* 100 Madison Avenue Morristown, NJ Morristown Surgical Center 111 Madison Avenue Suite 400 Morristown, NJ Ridgedale 14 Ridgedale Avenue Suite 120 Cedar Knolls, NJ Roxbury Open MRI and Surgical Center 66 Sunset Strip Suite 101 Succasunna, NJ Saint Clare s Hospital* 25 Pocono Road Denville, NJ West Blackwell Street Dover, NJ Ocean County Bey Lea Ambulatory Surgical Center 54 Bey Lea Road Building 2 Toms River, NJ Cataract and Laser Institute, PA 101 Prospect Street Suite 102 Lakewood, NJ Coastal Endoscopy Center, LLC 175 Gunning River Road Building A, Unit 4 Barnegat, NJ Community 99 Route 37 West Toms River, NJ Endoscopy Center of Ocean County, PC 477 Lakehurst Road Toms River NJ Endoscopy Center of Toms River 473 Lakehurst Road Toms River, NJ

7 Healthsouth Southern Ocean 1100 Route 72 West Suite 200 Manahawkin, NJ Kimball 600 River Avenue Lakewood, NJ Ocean Endosurgery Center 129 Route 37 West Toms River, NJ Ocean 425 Jack Martin Boulevard Brick, NJ Ocean, LLC 501 Lakehurst Road Toms River, NJ Sea Oaks 798 Route 539 Building A Little Egg Harbor, NJ Seashore Surgical Institute, LLC 495 Jack Martin Boulevard Brick, NJ Shore Outpatient Surgical Center 360 Route 70 East Lakewood, NJ Southern Ocean 1140 Route 72 West Manahawkin, NJ Passaic County Center for Special Surgery at Hawthorne 104 Lincoln Avenue Hawthorne, NJ Elite Surgical Center, LLC 307 Hamburg Turnpike Gastroenterology Diagnostics of Northern New Jersey 205 Browertown Road West Paterson, NJ Northern New Jersey Gastroenterology and Endoscopy Center 1825 Route 23 South Premier Endoscopy Center, LLC 164 Brighton Road Clifton, NJ Saint Joseph s Regional 703 Main Street Paterson, NJ Hamburg Turnpike Saint Mary s Hospital* 350 Boulevard Passaic, NJ Surgicare Surgical Associates of Wayne 246 Hamburg Turnpike Wayne Surgical Center 1176 Hamburg Turnpike Salem County Elmer Hospital* 501 West Front Street Elmer, NJ Memorial Hospital of Salem County* 310 Woodstown Road Salem, NJ Somerset County Central Jersey Ambulatory Surgical Center, LLC 511 Courtyard Drive Building 500 Hillsborough, NJ Franklin Surgical Center 175 Morristown Road Suite 102 Basking Ridge, NJ Somerset Eye Institute 562 Easton Avenue Somerset, NJ Somerset 110 Rehill Avenue Somerville, NJ Surgicare of Central Jersey 40 Stirling Road Watchung, NJ Sussex County Eye Physicians of Sussex County 183 High Street Newton, NJ Newton Memorial Hospital* 175 High Street Newton, NJ Northwest Jersey Ambulatory 350 Sparta Avenue Sparta, NJ

8 . Premier Health Associates, LLC 532 Lafayette Road Suite 200 Sparta, NJ Saint Clare s Hospital/Sussex* 20 Walnut Street Sussex, NJ Union County Ambulatory Surgical Center of Union County 950 West Chestnut Street Suite 200 Union, NJ Berkeley Heights Eye Group 369 Springfield Avenue Berkeley Heights, NJ The Center for Ambulatory Surgery 1450 Route 22 West Mountainside, NJ Endo Surgi Center 1201 Morris Avenue Union, NJ Garden State Endoscopy and 1700 Galloping Hill Road Kenilworth, NJ Gastro Surgical Center of New Jersey, LLC 1132 Spruce Drive Mountainside, NJ Linden Surgical Center 210 West Saint Georges Avenue Linden, NJ Overlook Hospital* 99 Beauvoir Avenue Summit, NJ Springfield Eye Surgery and Laser Center 105 Morris Avenue Springfield, NJ Trinitas Hospital 225 Williamson Street Elizabeth, NJ East Jersey Street Elizabeth, NJ Union 1000 Galloping Hill Road Union, NJ Warren County Emmaus Surgical Center, LLC 57 Route 46 Suite 104 Hackettstown, NJ Hackettstown Regional 651 Willow Grove Street Hackettstown, NJ Warren Hospital* 185 Roseberry Street Phillipsburg, NJ Pennsylvania Bucks County Wills at Bucks County 401 North York Road Warminster, PA Centre County Northern Litho, LLC 129 South Street Suite 1 State College, PA Northampton County Twin Rivers Endoscopy Center 20 Community Drive Easton, PA Philadelphia County Children s Hospital of Philadelphia* 34th Street and Civic Center Boulevard Philadelphia, PA Hahnemann University Hospital* 230 North Broad Street Philadelphia, PA Hospital of the University of Pennsylvania* 3400 Spruce Street Philadelphia, PA Methodist Hospital Division* 2301 South Broad Street Philadelphia, PA

9 Pennsylvania Hospital* 800 Spruce Street Philadelphia, PA Presbyterian 51 North 39th Street Philadelphia, PA Wills Community Surgical Services of Center City 840 Walnut Street Philadelphia, PA Wills at Philadelphia Stadium Campus 3340 South Broad Street Philadelphia, PA Temple University Hospital, Inc.* 100 East Lehigh Avenue Philadelphia, PA North Broad Street Philadelphia, PA Thomas Jefferson Hospital* 111 South 11th Street Philadelphia, PA Delaware New Castle County Wills Eye, Wilmington 900 Foulk Road Wilmington, DE This list is accurate as of April 1, Visit HorizonCasualty.com for the most current listing of participating providers. Services and products may be provided by Horizon Casualty Services, Inc., 33 Washington Street, Newark, NJ, 07102, a subsidiary of Horizon Blue Cross Blue Shield of New Jersey. Horizon Casualty Services, Inc. and Horizon Blue Cross Blue Shield of New Jersey are independent licensees of the Blue Cross and Blue Shield Association. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. The Horizon name and symbols and Making Healthcare Work are registered marks of Horizon Blue Cross Blue Shield of New Jersey (0413) 2013 Horizon Blue Cross Blue Shield of New Jersey, Three Penn Plaza East, Newark, New Jersey CMC (0413) 9