| Pittsburgh to Penne | 4,590.71 mi (7,388.03 km) |
| Pittsburgh to Pergine Valsugana | 4,344.06 mi (6,991.08 km) |
| Pittsburgh to Perugia | 4,500.86 mi (7,243.43 km) |
| Pittsburgh to Pesaro | 4,492.02 mi (7,229.22 km) |
| Pittsburgh to Pescantina | 4,349.88 mi (7,000.46 km) |
| Pittsburgh to Pescara | 4,602.71 mi (7,407.34 km) |
| Pittsburgh to Peschiera del Garda | 4,344.11 mi (6,991.17 km) |
| Pittsburgh to Pescia | 4,399.74 mi (7,080.69 km) |
| Pittsburgh to Petilia Policastro | 4,846.18 mi (7,799.17 km) |
| Pittsburgh to Piacenza | 4,316.76 mi (6,947.15 km) |
| Pittsburgh to Pianella | 4,598.27 mi (7,400.21 km) |
| Pittsburgh to Pianezza | 4,223.98 mi (6,797.84 km) |
| Pittsburgh to Pianiga | 4,397.88 mi (7,077.71 km) |
| Pittsburgh to Piano di Sorrento | 4,682.89 mi (7,536.38 km) |
| Pittsburgh to Pianoro | 4,409.20 mi (7,095.92 km) |
