| Year | Champion | Runner-Up | Score | Brackets |
| 1984 | Seton-LaSalle | Beaver Falls | 71-59 | |
| 1985 | Beaver Falls | Seton-LaSalle | 72-50 | |
| 1986 | Penn Hills | Elizabeth Forward | 42-39 | |
| 1987 | Penn Hills | Elizabeth Forward | 48-41 | |
| 1988 | Penn Hills | Sacred Heart | 60-40 | |
| 1989 | Penn Hills | McKeesport | 56-46 | |
| 1990 | Penn Hills | Elizabeth Forward | 51-26 | |
| 1991 | Penn Hills | North Allegheny | 68-49 | |
| 1992 | Penn Hills | North Allegheny | 65-41 | |
| 1993 | Upper St. Clair | Oakland Catholic | 51-47 | |
| 1994 | Upper St. Clair | Penn Hills | 68-66, OT | |
| 1995 | Penn Hills | Upper St. Clair | 49-46 | |
| 1996 | Upper St. Clair | Oakland Catholic | 53-39 | |
| 1997 | Woodland Hills | North Allegheny | 51-48 | |
| 1998 | McKeesport | North Allegheny | 69-52 | |
| 1999 | Oakland Catholic | North Allegheny | 45-42 | |
| 2000 | Oakland Catholic | Mt. Lebanon | 52-49 | |
| 2001 | Oakland Catholic | Ambridge | 66-48 | Brackets |
| 2002 | Oakland Catholic | Upper St. Clair | 63-50 | Brackets |
| 2003 | Upper St. Clair | Oakland Catholic | 55-45 | Brackets |
| 2004 | New Castle | Oakland Catholic | 36-32 | Brackets |
| 2005 | Oakland Catholic | Bethel Park | 58-49 | Brackets |
| 2006 | Oakland Catholic | Mt. Lebanon | 49-36 | Brackets |
| 2007 | New Castle | Oakland Catholic | 46-44 | Brackets |
| 2008 | Upper St. Clair | Peters Township | 69-40 | Brackets |
| 2009 | Mt. Lebanon | Fox Chapel | 50-24 | Brackets |
| 2010 | Mt. Lebanon | Baldwin | 59-43 | Brackets |
| 2011 | Shaler | Mt. Lebanon | 41-35 | Brackets |
| Year | Champion | Runner-Up | Score | Brackets |
| 1971 | Montour | Upper St. Clair | 47-39 | |
| 1972 | North Allegheny | Montour | 64-54 | |
| 1973 | Upper St. Clair | North Allegheny | 41-40 | |
| 1974 | Baldwin | Franklin Regional | 74-57 | |
| 1975 | Elizabeth Forward | Baldwin | 49-39 | |
| 1976 | Baldwin | Franklin Regional | 63-47 | |
| 1977 | Franklin Regional | Elizabeth Forward | 57-48 | |
| 1978 | North Catholic | Butler | 58-46 | |
| 1979 | Franklin Regional | North Hills | 58-50 | |
| 1980 | Shaler | Thomas Jefferson | 53-39 | |
| 1981 | Baldwin | Shaler | 48-45 | |
| 1982 | Baldwin | Gateway | 37-33 | |
| 1983 | Baldwin | Greensburg C.C. | 59-57 | |
| 1984 | North Catholic | Sto-Rox | 53-44 | |
| 1985 | Deer Lakes | North Catholic | 42-32 | |
| 1986 | North Catholic | Carlynton | 71-43 | |
| 1987 | Beaver Falls | North Catholic | 58-49 | |
| 1988 | North Catholic | Beaver Falls | 55-43 | |
| 1989 | North Catholic | Beaver Falls | 84-52 | |
| 1990 | Steel Valley | North Catholic | 58-41 | |
| 1991 | Greensburg C.C. | North Catholic | 52-49 | |
| 1992 | Washington | North Catholic | 69-67 | |
| 1993 | North Catholic | Seton-LaSalle | 63-50 | |
| 1994 | North Catholic | Seton-LaSalle | 60-36 | |
| 1995 | North Catholic | Ellwood City | 59-38 | |
| 1996 | Blackhawk | North Catholic | 38-35 | |
| 1997 | Blackhawk | West Mifflin | 48-19 | |
| 1998 | South Park | Pine-Richland | 61-45 | |
| 1999 | Blackhawk | North Catholic | 63-40 | |
| 2000 | Blackhawk | West Mifflin | 81-78, 3OT | |
| 2001 | West Mifflin | Blackhawk | 63-53 | Brackets |
| 2002 | Moon | North Catholic | 54-44 | Brackets |
| 2003 | North Catholic | Moon | 51-42 | Brackets |
| 2004 | North Catholic | Mars | 68-40 | Brackets |
| 2005 | Moon | Montour | 33-29 | Brackets |
| 2006 | Hopewell | Moon | 43-26 | Brackets |
| 2007 | Hopewell | Montour | 44-26 | Brackets |
| 2008 | Hampton | West Mifflin | 45-41 | Brackets |
| 2009 | New Castle | West Mifflin | 54-47 | Brackets |
| 2010 | New Castle | Hopewell | 66-61 | Brackets |
| 2011 | Blackhawk | Ambridge | 63-49 | Brackets |
| Year | Champion | Runner-Up | Score | Brackets |
| 1976 | Avonworth | Brentwood | 39-31 | |
| 1977 | Mars | Brentwood | 44-34 | |
| 1978 | Brentwood | New Brighton | 66-48 | |
| 1979 | Brentwood | North Catholic | 48-39 | |
| 1980 | North Catholic | Brentwood | 56-39 | |
| 1981 | North Catholic | Aliquippa | 52-37 | |
| 1982 | North Catholic | Seton-LaSalle | 67-58 | |
| 1983 | Seton-LaSalle | North Catholic | 71-52 | |
| 1984 | Mount Alvernia | Brentwood | 60-39 | |
| 1985 | Mount Alvernia | Serra Catholic | 63-58, OT | |
| 1986 | Northgate | Brentwood | 69-35 | |
| 1987 | Aliquippa | Sto-Rox | 50-48 | |
| 1988 | Aliquippa | Carlynton | 59-46 | |
| 1989 | Aliquippa | Mount Alvernia | 69-63 | |
| 1990 | Aliquippa | Carlynton | 62-52 | |
| 1991 | Apollo-Ridge | Brentwood | 54-51 | |
| 1992 | Serra Catholic | Geibel | 59-42 | |
| 1993 | Geibel | Serra Catholic | 54-34 | |
| 1994 | Geibel | Greensburg C.C. | 57-49 | |
| 1995 | Geibel | Greensburg C.C. | 65-54 | |
| 1996 | Geibel | Greensburg C.C. | 57-54 | |
| 1997 | Greensburg C.C. | Geibel | 57-51 | |
| 1998 | Geibel | Steel Valley | 59-47 | |
| 1999 | East Allegheny | Carlynton | 51-43 | |
| 2000 | Seton-LaSalle | Carlynton | 52-45 | |
| 2001 | Vincentian Academy | Washington | 62-55 | Brackets |
| 2002 | Vincentian Academy | Greensburg C.C. | 55-48 | Brackets |
| 2003 | Greensburg C.C. | Carlynton | 49-40 | Brackets |
| 2004 | Carlynton | Freeport | 42-20 | Brackets |
| 2005 | Avonworth | Greensburg C.C. | 58-52 | Brackets |
| 2006 | Greensburg C.C. | O.L. Sacred Heart | 46-26 | Brackets |
| 2007 | Greensburg C.C. | Ford City | 47-37 | Brackets |
| 2008 | South Park | O.L. Sacred Heart | 47-37 | Brackets |
| 2009 | Sto-Rox | Seton-LaSalle | 51-34 | Brackets |
| 2010 | Jeannette | Seton-LaSalle | 39-36 | Brackets |
| 2011 | Seton-LaSalle | Jeannette | 74-30 | Brackets |
| Year | Champion | Runner-Up | Score | Brackets |
| 1978 | Turtle Creek | St. Elizabeth | 27-26 | |
| 1979 | Avonworth | Mount Alvernia | 53-41 | |
| 1980 | Mount Alvernia | Avonworth | 52-49 | |
| 1981 | Mount Alvernia | Turtle Creek | 66-38 | |
| 1982 | Turtle Creek | Immaculate Conception | 44-36 | |
| 1983 | Mount Alvernia | Bishop Boyle | 81-45 | |
| 1984 | Geibel | Farrell | 45-37 | |
| 1985 | St. Francis Academy | Immaculate Conception | 53-49 | |
| 1986 | Immaculate Conception | Farrell | 48-33 | |
| 1987 | Monaca | Geibel | 46-41 | |
| 1988 | Geibel | Monaca | 55-54, OT | |
| 1989 | St. Francis Academy | Quigley | 49-33 | |
| 1990 | St. Francis Academy | Farrell | 55-45 | |
| 1991 | St. Francis Academy | Geibel | 63-60 | |
| 1992 | Avonworth | Vincentian Academy | 47-45 | |
| 1993 | Avonworth | Monessen | 53-51 | |
| 1994 | Avonworth | Brentwood | 77-41 | |
| 1995 | Monessen | O.L. Sacred Heart | 66-52 | |
| 1996 | Vincentian Academy | Monessen | 43-39 | |
| 1997 | Mount Alvernia | Serra Catholic | 49-46 | |
| 1998 | Mount Alvernia | Monessen | 55-46 | |
| 1999 | Serra Catholic | Geibel | 57-54 | |
| 2000 | Mount Alvernia | Avonworth | 53-35 | |
| 2001 | Clairton | Monessen | 64-50 | Brackets |
| 2002 | Clairton | Mount Alvernia | 52-49 | Brackets |
| 2003 | Serra Catholic | Monessen | 68-54 | Brackets |
| 2004 | Monessen | Serra Catholic | 63-47 | Brackets |
| 2005 | Serra Catholic | Clairton | 56-31 | Brackets |
| 2006 | Monessen | Serra Catholic | 40-34 | Brackets |
| 2007 | North Catholic | Vincentian Academy | 61-35 | Brackets |
| 2008 | Mount Alvernia | Monessen | 74-68, 2OT | Brackets |
| 2009 | North Catholic | Mount Alvernia | 48-44 | Brackets |
| 2010 | Vincentian Academy | North Catholic | 57-31 | Brackets |
| 2011 | North Catholic | Fort Cherry | 49-43 | Brackets |