Route 23, also called "The Country Music Highway" to celebrate the region's rich heritage of music, runs through Prestonsburg.Country music stars including Loretta Lynn, Crystal Gayle, Wynonna Judd, Naomi Judd, Billy Ray Cyrus, Tom T. Hall, Ricky Skaggs, Keith Whitley, Dwight Yoakam, and Patty Loveless are all from the Big Sandy Valley.