| Middle Valley to Acqui Terme | 4,726.42 mi (7,606.44 km) |
| Middle Valley to Acri | 5,259.08 mi (8,463.67 km) |
| Middle Valley to Adelfia | 5,221.53 mi (8,403.25 km) |
| Middle Valley to Adrano | 5,261.10 mi (8,466.92 km) |
| Middle Valley to Adria | 4,866.04 mi (7,831.14 km) |
| Middle Valley to Afragola | 5,114.04 mi (8,230.25 km) |
| Middle Valley to Agliana | 4,861.78 mi (7,824.28 km) |
| Middle Valley to Agrate Brianza | 4,733.88 mi (7,618.45 km) |
| Middle Valley to Agrigento | 5,217.54 mi (8,396.83 km) |
| Middle Valley to Agropoli | 5,164.74 mi (8,311.85 km) |
| Middle Valley to Ala | 4,797.69 mi (7,721.13 km) |
| Middle Valley to Alassio | 4,735.79 mi (7,621.52 km) |
| Middle Valley to Alatri | 5,041.31 mi (8,113.20 km) |
| Middle Valley to Alba | 4,706.85 mi (7,574.95 km) |
| Middle Valley to Albano Laziale | 5,011.52 mi (8,065.26 km) |
