We happened to be visiting Erie twice in the last two weeks and went to Alto Cucina both times. The first time, our service was wonderful, which was a little surprising given the reviews on this site. The second time, though, the reviews were much closer to being right - service was very slow, especially when we were trying to get our check and leave.
My main complaint with the menu was that I found it very difficult to find something healthy to eat.
That said, my dinners were both quite good. My husband really liked the spaghetti and meatballs as well, and had it both times we were there.