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I swear I think you can make more in Charelston WVa than Cary at Chain HospitalsPossibly has to do with the providers that are available and willing to strike a deal with BCBS in the area. The triangle has two med schools and places that doctors want to live during their child rearing years. There is more healthcare supply.
Pamlico has places that people want to retire to but not as many doctors want to raise their kids there. Medicine is one of the few professions where you can make more money in rural areas and its because the supply is limited.