 The road curves east-southeast and enters the borough of Midland, becoming Midland Avenue and passing homes.The route comes to an intersection with PA 168, where that route turns southeast to form a concurrency with PA 68, running through residential areas before heading through the commercial downtown of Midland.The road heads into industrial areas and becomes Midland Beaver Road, with PA 168 splitting to the south at an interchange to cross the Ohio River on the Shippingport Bridge.