| United Memorial Medical Center
                127 North St Batavia, NY 14020
                         $95 –         $297 | 
            
            
              | Saratoga Hospital
                211 Church St Saratoga Springs, NY 12866
                         $95 –         $196 | 
            
            
              | Sisters Of Charity Hospital
                2157 Main St Buffalo, NY 14214
                         $95 –         $802 | 
            
            
              | Sisters Of Charity Hospital Saint Joseph Campus
                2605 Harlem Rd Cheektowaga, NY 14225
                         $95 –         $802 | 
            
            
              | Kenmore Mercy Hospital
                2950 Elmwood Ave Kenmore, NY 14217
                         $95 –         $802 | 
            
            
              | Maimonides Medical Center
                4802 10th Ave Brooklyn, NY 11219
                         $95 –         $196 | 
            
            
              | Mount St. Marys Hospital
                5300 Military Rd Lewiston, NY 14092
                         $95 –         $802 | 
            
            
              | Mercy Hospital Of Buffalo
                565 Abbott Rd Buffalo, NY 14220
                         $95 –         $802 | 
            
            
              | Garnet Health Doctors - Harris
                68 Harris Bushville Rd Harris, NY 12742
                         $95 –         $499 | 
            
            
              | Columbia Memorial Hospital
                71 Prospect Ave Hudson, NY 12534
                        $196 –         $297 | 
            
            
              | Eastern Niagara Hospital
                521 East Ave Lockport, NY 14094
                        $196 –         $297 | 
            
            
              | Alice Hyde Medical Center
                133 Park St Malone, NY 12953
                        $196 –         $297 | 
            
            
              | Massena Memorial Hospital
                1 Hospital Dr Massena, NY 13662
                        $297 –         $398 | 
            
            
              | Auburn Memorial Hospital
                17 Lansing St Auburn, NY 13021
                        $297 –         $398 | 
            
            
              | Clifton Springs Hospital And Clinic
                2 Coulter Rd Clifton Springs, NY 14432
                        $297 –         $398 | 
            
            
              | Oneida Health Hospital
                321 Genesee St Oneida, NY 13421
                        $297 –         $398 | 
            
            
              | Thompson Health
                350 Parrish St Canandaigua, NY 14424
                        $297 –         $398 | 
            
            
              | Garnet Health Medical Center
                707 East Main Street Middletown, NY 10940
                        $297 –         $701 | 
            
            
              | Garnet Health Medical Center – Catskills
                8881 Route 97 Callicoon, NY 12723
                        $297 –         $701 | 
            
            
              | St. Josephs Hospital
                555 E Market St Elmira, NY 14901
                        $398 –         $499 | 
            
            
              | Arnot Ogden Medical Center
                600 Roe Ave Elmira, NY 14905
                        $398 –         $499 | 
            
            
              | Ira Davenport Memorial Hospital
                7571 State Route 54 Bath, NY 14810
                        $398 –         $499 | 
            
            
              | HHC Elmhurst Hospital Center
                7901 Broadway Elmhurst, NY 11373
                        $398 –         $499 | 
            
            
              | White Plains Hospital
                41 E Post Road White Plains, NY 10601
                        $398 –         $499 | 
            
            
              | NYC Health + Hospitals Coney Island
                2601 Ocean Pkwy Brooklyn, NY 11235
                        $398 –         $499 | 
            
            
              | HHC Harlem Hospital Center
                506 Malcolm X Blvd New York, NY 10037
                        $398 –         $499 | 
            
            
              | NYC Health + Hospitals Metropolitan
                1901 1st Ave New York, NY 10029
                        $398 –         $499 | 
            
            
              | Montefiore Nyack Hospital
                160 N Midland Ave Nyack, NY 10960
                        $398 –         $499 | 
            
            
              | BronxCare Health System
                1650 Grand Concourse Bronx, NY 10457
                        $398 –         $499 | 
            
            
              | HHC Lincoln Medical Center
                234 E 149th St Rm 2a1 Bronx, NY 10451
                        $398 –         $499 | 
            
            
              | Aurelia Osborn Fox Memorial Hospital
                1 Norton Ave Oneonta, NY 13820
                        $398 –         $499 | 
            
            
              | Newark Wayne Community Hospital
                1200 Driving Park Ave Newark, NY 14513
                        $398 –         $499 | 
            
            
              | Rochester General Hospital
                1425 Portland Ave Rochester, NY 14621
                        $398 –         $499 | 
            
            
              | The Unity Hospital Of Rochester
                1555 Long Pond Rd Rochester, NY 14626
                        $499 –         $600 | 
            
            
              | Uhs Hospitals
                10-42 Mitchell Ave Binghamton, NY 13903
                        $499 –         $600 | 
            
            
              | Highland Hospital
                1000 South Ave Rochester, NY 14620
                        $499 –         $600 | 
            
            
              | Chenango Memorial Hospital
                179 N Broad St Norwich, NY 13815
                        $499 –         $600 | 
            
            
              | Crouse Hospital
                736 Irving Ave Syracuse, NY 13210
                        $499 –         $600 | 
            
            
              | Champlain Valley Physicians Hospital
                75 Beekman St Plattsburgh, NY 12901
                        $499 –         $600 | 
            
            
              | Strong Memorial Hospital
                601 Elmwood Ave Rochester, NY 14642
                        $499 –         $600 | 
            
            
              | Elizabethtown Community Hospital
                75 Park St Elizabethtown, NY 12932
                        $600 –         $701 | 
            
            
              | HHC Queens Hospital Center
                8268 164th St Jamaica, NY 11432
                        $600 –         $701 | 
            
            
              | Plainview Hospital
                888 Old Country Rd Plainview, NY 11803
                        $600 –         $701 | 
            
            
              | Woodhull Medical and Mental Health Center
                760 Broadway Brooklyn, NY 11206
                        $600 –         $701 | 
            
            
              | NYC Health + Hospitals Kings County
                451 Clarkson Ave Brooklyn, NY 11203
                        $600 –         $701 | 
            
            
              | HHC Bellevue Hospital Center
                462 1st Ave New York, NY 10016
                        $600 –         $701 | 
            
            
              | Staten Island University Hospital - North Cam
                475 Seaview Ave Staten Island, NY 10305
                        $600 –         $701 | 
            
            
              | HealthAlliance Hospital Broadway
                396 Broadway Kingston, NY 12401
                        $600 –         $701 | 
            
            
              | NYC Health + Hospitals North Central Bronx
                3424 Kossuth Ave Bronx, NY 10467
                        $600 –         $701 | 
            
            
              | Adirondack Medical Center
                2233 State Route 86 Saranac Lake, NY 12983
                        $600 –         $701 | 
            
            
              | North Shore University Hospital
                300 Community Drive Manhasset, NY 11030
                        $600 –         $701 | 
            
            
              | St. Josephs Hospital Health Center
                301 Prospect Ave Syracuse, NY 13203
                        $600 –         $701 | 
            
            
              | Long Island Jewish Medical Center
                270-05 76 Ave New Hyde Park, NY 11040
                        $600 –         $701 | 
            
            
              | Glen Cove Hospital
                101 Saint Andrews Ln Glen Cove, NY 11542
                        $600 –         $701 | 
            
            
              | Ticonderoga Campus
                1019 Wicker St Ticonderoga, NY 12883
                        $600 –         $701 | 
            
            
              | Long Island Jewish Forest Hills
                102-66th Road Forest Hills, NY 11375
                        $600 –         $701 | 
            
            
              | HealthAlliance Hospital Mary's Ave
                105 Marys Ave Kingston, NY 12401
                        $600 –         $701 | 
            
            
              | Lenox Hill Hospital
                100 E 77th St New York, NY 10075
                        $600 –         $701 | 
            
            
              | NYC Health + Hospitals Jacobi Medical Center
                1400 Pelham Pkwy S Bronx, NY 10461
                        $600 –         $701 | 
            
            
              | Long Island Jewish Valley Stream
                900 Franklin Ave Valley Stream, NY 11580
                        $600 –         $701 | 
            
            
              | St. Anthony Community Hospital
                15 Maple Ave Warwick, NY 10990
                        $701 –         $802 | 
            
            
              | Midhudson Regional Hospital Of Westchester Medical Center
                241 North Rd Poughkeepsie, NY 12601
                        $701 –         $802 | 
            
            
              | Good Samaritan Hospital
                255 Lafayette Ave Suffern, NY 10901
                        $701 –         $802 | 
            
            
              | Bon Secours Community Hospital
                160 E Main St Port Jervis, NY 12771
                        $701 –         $802 | 
            
            
              | Margaretville Hospital
                42084 State Highway 28 Margaretville, NY 12455
                        $701 –         $802 | 
            
            
              | NewYork-Presbyterian/Weill Cornell Medical Center
                525 E 68th St New York, NY 10021
                        $802 –         $903 | 
            
            
              | Newyork Presbyterian Columbia University Medical Center
                525 E 68th St New York, NY 10065
                        $802 –         $903 | 
            
            
              | NewYork-Presbyterian Lawrence Hospital
                55 Palmer Ave Bronxville, NY 10708
                        $802 –         $903 | 
            
            
              | NewYork-Presbyterian Queens Hospital
                56-45 Main Street New York, NY 11355
                        $802 –         $903 | 
            
            
              | NewYork-Presbyterian Hudson Valley Hospital
                1980 Crompond Rd Cortlandt Manor, NY 10567
                        $802 –         $903 | 
            
            
              | Montefiore New Rochelle Hospital
                16 Guion Pl New Rochelle, NY 10801
                        $802 –         $903 | 
            
            
              | Mary Imogene Bassett Hospital
                1 Atwell Rd Cooperstown, NY 13326
                        $802 –         $903 | 
            
            
              | Montefiore Hospital
                111 E 210th St Bronx, NY 10467
                        $802 –         $903 | 
            
            
              | Montefiore Mount Vernon Hospital
                12 N 7th Ave Mount Vernon, NY 10550
                        $802 –         $903 | 
            
            
              | Northern Dutchess Hospital
                6511 Spring Brook Ave Rhinebeck, NY 12572
                        $903 –       $1,009 | 
            
            
              | Putnam Hospital
                670 Stoneleigh Ave Carmel, NY 10512
                        $903 –       $1,009 | 
            
            
              | NewYork-Presbyterian Brooklyn Methodist Hospital
                506 6th St Brooklyn, NY 11215
                        $903 –       $1,009 | 
            
            
              | Vassar Brothers Medical Center
                45 Reade Pl Poughkeepsie, NY 12601
                        $903 –       $1,009 |