Yes, it does. The districts that are part of the Triangle are very competitive whereas the more rural districts are much less so. UNC CH wants to serve students from the entire state.
An issue with HS applicants who want to be premed is that most do not actually make it through the premed gauntlet and, out of those who do, only about 40% nationally get into even just 1 med school. So you need to choose a balance of academic strength&opportunities whether Med School works out or not. A good gauge is for you to be in an environment that’s supportive and that is a good fit while being academically solid and where you’re in the top 25%…