| St. Clair Hospital
                1000 Bower Hill Rd Pittsburgh, PA 15243
                         $83 –         $158 | 
            
            
              | Heritage Valley Beaver
                1000 Dutch Ridge Rd Beaver, PA 15009
                         $83 –         $158 | 
            
            
              | Heritage Valley Beaver Hospital
                1000 Dutch Ridge Rd Beaver, PA 15009
                         $83 –         $158 | 
            
            
              | Nason Hospital
                105 Nason Dr Roaring Spring, PA 16673
                         $83 –         $158 | 
            
            
              | Saint Vincent Hospital
                232 W 25th St Erie, PA 16544
                         $83 –         $158 | 
            
            
              | Heritage Valley Beaver Hospital
                25 Heckel Rd Mc Kees Rocks, PA 15136
                         $83 –         $158 | 
            
            
              | Heritage Valley Sewickley
                720 Blackburn Rd Sewickley, PA 15143
                         $83 –         $158 | 
            
            
              | Butler Memorial Hospital
                911 E Brady St Butler, PA 16001
                         $83 –         $308 | 
            
            
              | Brandywine Hospital
                201 Reeceville Rd Coatesville, PA 19320
                        $158 –         $233 | 
            
            
              | Phoenixville Hospital
                140 Nutt Rd Phoenixville, PA 19460
                        $158 –         $233 | 
            
            
              | Conemaugh Memorial Medical Center
                1086 Franklin St Johnstown, PA 15905
                        $158 –         $233 | 
            
            
              | Jennersville Hospital
                1015 W Baltimore Pike West Grove, PA 19390
                        $158 –         $233 | 
            
            
              | Sharon Regional Medical Center
                740 E State St Sharon, PA 16146
                        $233 –         $308 | 
            
            
              | Conemaugh Miners Medical Center
                290 Haida Avenue Hastings, PA 16646
                        $233 –         $308 | 
            
            
              | Physicians Care Surgical Hospital
                454 Enterprise Dr Royersford, PA 19468
                        $233 –         $383 | 
            
            
              | Punxsutawney Area Hospital
                81 Hillcrest Dr Punxsutawney, PA 15767
                        $233 –         $308 | 
            
            
              | Chestnut Hill Hospital
                8835 Germantown Ave Philadelphia, PA 19118
                        $308 –         $383 | 
            
            
              | Monongahela Valley Hospital
                1163 Country Club Road Monongahela, PA 15063
                        $308 –         $383 | 
            
            
              | St. Mary Medical Center
                1201 Langhorne-Newtown Rd Langhorne, PA 19047
                        $308 –         $383 | 
            
            
              | Clarion Hospital
                1 Hospital Dr Clarion, PA 16214
                        $308 –         $383 | 
            
            
              | ACMH Hospital
                1 Nolte Dr Kittanning, PA 16201
                        $308 –         $383 | 
            
            
              | Pottstown Hospital
                1600 E High St Pottstown, PA 19464
                        $308 –         $383 | 
            
            
              | Suburban Community Hospital
                2701 Dekalb Pike East Norriton, PA 19401
                        $383 –         $458 | 
            
            
              | Lower Bucks Hospital
                501 Bath Rd Bristol, PA 19007
                        $383 –         $458 | 
            
            
              | Fox Chase Cancer Center
                333 Cottman Ave Philadelphia, PA 19111
                        $383 –         $458 | 
            
            
              | Temple University Hospital – Main Campus
                3401 N Broad St Philadelphia, PA 19140
                        $383 –         $458 | 
            
            
              | Temple University Hospital – Jeanes Campus
                7600 Central Ave Philadelphia, PA 19111
                        $383 –         $458 | 
            
            
              | Roxborough Memorial Hospital
                5800 Ridge Ave Philadelphia, PA 19128
                        $383 –         $458 | 
            
            
              | Albert Einstein Medical Center
                5501 Old York Rd Phila, PA 19141
                        $458 –         $533 | 
            
            
              | Einstein Medical Center Montgomery
                559 W Germantown Pike East Norriton, PA 19403
                        $458 –         $533 | 
            
            
              | Wayne Memorial Hospital
                601 Park St Honesdale, PA 18431
                        $533 –         $608 | 
            
            
              | Reading Hospital
                420 S 5th Ave West Reading, PA 19611
                        $533 –         $608 | 
            
            
              | Delaware County Memorial Hospital
                501 N Lansdowne Ave Drexel Hill, PA 19026
                        $533 –         $608 | 
            
            
              | Excela Frick Hospital
                508 S Church St Mt Pleasant, PA 15666
                        $608 –         $683 | 
            
            
              | Excela Westmoreland Hospital
                532 W Pittsburgh St Greensburg, PA 15601
                        $608 –         $683 | 
            
            
              | Upmc Pinnacle Community Osteopathic
                4300 Londonderry Rd Harrisburg, PA 17109
                        $608 –         $683 | 
            
            
              | St. Christopher's Hospital for Children
                160 E Erie Ave Philadelphia, PA 19134
                        $608 –         $683 | 
            
            
              | Excela Latrobe Hospital
                One Mellon Way Latrobe, PA 15650
                        $608 –         $683 | 
            
            
              | Allegheny General Hospital
                320 E North Ave Pittsburgh, PA 15212
                        $683 –         $760 |