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Providers for Zip Code 16509

Obamacare 2019 Marketplace Rates For Erie County, Pennsylvania

Monday, April 15th, 2024


The health insurance rates listed below are for calendar year 2019.

2019 Rates and Providers

(click here for 2014)

(click here for 2015)

(click here for 2016)

(click here for 2017)

(click here for 2018)

This page gives you an overview of the rates for individual and family health insurance plans available from HealthCare.gov, the marketplace for Erie County, Pennsylvania.

Obamacare Providers, Plans and 2019 Rates for Erie County

Erie County is in “Rating Area 1” of Pennsylvania.

Currently, there are 20 plans offered in Rating Area 1.

Below, you’ll find a summary of plans and rates for each of these providers. This chart is designed to give you a preview of your health insurance options. For detailed information on available subsidies to make your coverage affordable, you must complete an application at HealthCare.gov or contact the provider directly.

The table below shows premiums for the following scenarios for:

  • Individual
  • Couple
  • Couple with 1 2 or 3 children
  • Individual with 1 2 or 3 children
  • A child alone

Each scenario is covered for age

  • Age 21, 30, 40, 50
  • Age 60 (Individual and Couple only)

For each plan, there are links that go to the insurance provider's website in a new window. You can find links to:

  • a summary of plan benefits and costs,
  • a plan brochure, and
  • a "Provider Directory" -- where you can find out which doctors and hospitals in the Erie, PA area accept this insurance coverage as within the plan's "network".
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UPMC Health Options, Inc.

Local: 1-855-489-3494 | Toll Free: 1-855-489-3494

TTY: 1-800-361-2629

Plan: (PPO) UPMC Advantage Silver $0/$50 - Premium Network

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-489-3494 - Provider Directory for This Plan: (UPMC Health Options, Inc.)

Deductible: Individual: $0 : Family: $0
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Silver 21
30
40
50
60
$345.75
$392.43
$441.87
$617.51
$938.37
$691.50
$784.86
$883.74
$1,235.02
$1,876.74
$956.00
$1,049.36
$1,148.24
$1,499.52
$1,220.50
$1,313.86
$1,412.74
$1,764.02
$1,485.00
$1,578.36
$1,677.24
$2,028.52
$610.25
$656.93
$706.37
$882.01
$874.75
$921.43
$970.87
$1,146.51
$1,139.25
$1,185.93
$1,235.37
$1,411.01
$315.67

Plan: (PPO) UPMC Advantage Silver $1,750/$50 - Premium Network

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-489-3494 - Provider Directory for This Plan: (UPMC Health Options, Inc.)

Deductible: Individual: $1,750 : Family: $3,500
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Silver 21
30
40
50
60
$335.79
$381.12
$429.14
$599.72
$911.33
$671.58
$762.24
$858.28
$1,199.44
$1,822.66
$928.46
$1,019.12
$1,115.16
$1,456.32
$1,185.34
$1,276.00
$1,372.04
$1,713.20
$1,442.22
$1,532.88
$1,628.92
$1,970.08
$592.67
$638.00
$686.02
$856.60
$849.55
$894.88
$942.90
$1,113.48
$1,106.43
$1,151.76
$1,199.78
$1,370.36
$306.58

Plan: (PPO) UPMC Advantage Silver $3,500/$25 - Premium Network

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-489-3494 - Provider Directory for This Plan: (UPMC Health Options, Inc.)

Deductible: Individual: $3,500 : Family: $7,000
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Silver 21
30
40
50
60
$342.49
$388.73
$437.70
$611.69
$929.52
$684.98
$777.46
$875.40
$1,223.38
$1,859.04
$946.98
$1,039.46
$1,137.40
$1,485.38
$1,208.98
$1,301.46
$1,399.40
$1,747.38
$1,470.98
$1,563.46
$1,661.40
$2,009.38
$604.49
$650.73
$699.70
$873.69
$866.49
$912.73
$961.70
$1,135.69
$1,128.49
$1,174.73
$1,223.70
$1,397.69
$312.69

Plan: (PPO) UPMC Advantage Gold $800/$20 - Premium Network

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-489-3494 - Provider Directory for This Plan: (UPMC Health Options, Inc.)

Deductible: Individual: $800 : Family: $1,600
Out of Pocket Maximum per year: Individual: $5,000 : Family: $10,000

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Gold 21
30
40
50
60
$364.25
$413.42
$465.51
$650.55
$988.57
$728.50
$826.84
$931.02
$1,301.10
$1,977.14
$1,007.15
$1,105.49
$1,209.67
$1,579.75
$1,285.80
$1,384.14
$1,488.32
$1,858.40
$1,564.45
$1,662.79
$1,766.97
$2,137.05
$642.90
$692.07
$744.16
$929.20
$921.55
$970.72
$1,022.81
$1,207.85
$1,200.20
$1,249.37
$1,301.46
$1,486.50
$332.56

Plan: (PPO) UPMC Advantage Platinum $250/$20 - Premium Network

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-489-3494 - Provider Directory for This Plan: (UPMC Health Options, Inc.)

Deductible: Individual: $250 : Family: $500
Out of Pocket Maximum per year: Individual: $1,500 : Family: $3,000

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Platinum 21
30
40
50
60
$638.38
$724.56
$815.85
$1,140.15
$1,732.56
$1,276.76
$1,449.12
$1,631.70
$2,280.30
$3,465.12
$1,765.12
$1,937.48
$2,120.06
$2,768.66
$2,253.48
$2,425.84
$2,608.42
$3,257.02
$2,741.84
$2,914.20
$3,096.78
$3,745.38
$1,126.74
$1,212.92
$1,304.21
$1,628.51
$1,615.10
$1,701.28
$1,792.57
$2,116.87
$2,103.46
$2,189.64
$2,280.93
$2,605.23
$582.84

Plan: (PPO) UPMC Advantage Bronze $6,950/$35 - Premium Network

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-489-3494 - Provider Directory for This Plan: (UPMC Health Options, Inc.)

Deductible: Individual: $6,950 : Family: $13,900
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Bronze 21
30
40
50
60
$263.06
$298.57
$336.19
$469.83
$713.94
$526.12
$597.14
$672.38
$939.66
$1,427.88
$727.36
$798.38
$873.62
$1,140.90
$928.60
$999.62
$1,074.86
$1,342.14
$1,129.84
$1,200.86
$1,276.10
$1,543.38
$464.30
$499.81
$537.43
$671.07
$665.54
$701.05
$738.67
$872.31
$866.78
$902.29
$939.91
$1,073.55
$240.17

Plan: (PPO) UPMC Advantage Catastrophic $7,900/$0 - Premium Network

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-489-3494 - Provider Directory for This Plan: (UPMC Health Options, Inc.)

Deductible: Individual: $7,900 : Family: $15,800
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Catastrophic 21
30
40
50
60
$249.70
$283.41
$319.12
$445.96
$677.69
$499.40
$566.82
$638.24
$891.92
$1,355.38
$690.42
$757.84
$829.26
$1,082.94
$881.44
$948.86
$1,020.28
$1,273.96
$1,072.46
$1,139.88
$1,211.30
$1,464.98
$440.72
$474.43
$510.14
$636.98
$631.74
$665.45
$701.16
$828.00
$822.76
$856.47
$892.18
$1,019.02
$227.98

Plan: (EPO) UPMC Advantage Bronze $6,950/$35 - Partner Network

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-489-3494 - Provider Directory for This Plan: (UPMC Health Options, Inc.)

Deductible: Individual: $6,950 : Family: $13,900
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Bronze 21
30
40
50
60
$199.37
$226.28
$254.79
$356.07
$541.09
$398.74
$452.56
$509.58
$712.14
$1,082.18
$551.26
$605.08
$662.10
$864.66
$703.78
$757.60
$814.62
$1,017.18
$856.30
$910.12
$967.14
$1,169.70
$351.89
$378.80
$407.31
$508.59
$504.41
$531.32
$559.83
$661.11
$656.93
$683.84
$712.35
$813.63
$182.02

Plan: (EPO) UPMC Advantage Silver $0/$50 - Partner Network

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-489-3494 - Provider Directory for This Plan: (UPMC Health Options, Inc.)

Deductible: Individual: $0 : Family: $0
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Silver 21
30
40
50
60
$260.77
$295.97
$333.26
$465.74
$707.73
$521.54
$591.94
$666.52
$931.48
$1,415.46
$721.03
$791.43
$866.01
$1,130.97
$920.52
$990.92
$1,065.50
$1,330.46
$1,120.01
$1,190.41
$1,264.99
$1,529.95
$460.26
$495.46
$532.75
$665.23
$659.75
$694.95
$732.24
$864.72
$859.24
$894.44
$931.73
$1,064.21
$238.08

Plan: (EPO) UPMC Advantage Silver $1,750/$50 - Partner Network

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-489-3494 - Provider Directory for This Plan: (UPMC Health Options, Inc.)

Deductible: Individual: $1,750 : Family: $3,500
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Silver 21
30
40
50
60
$260.92
$296.14
$333.46
$466.00
$708.14
$521.84
$592.28
$666.92
$932.00
$1,416.28
$721.44
$791.88
$866.52
$1,131.60
$921.04
$991.48
$1,066.12
$1,331.20
$1,120.64
$1,191.08
$1,265.72
$1,530.80
$460.52
$495.74
$533.06
$665.60
$660.12
$695.34
$732.66
$865.20
$859.72
$894.94
$932.26
$1,064.80
$238.22

Plan: (EPO) UPMC Advantage Silver $3,500/$25 - Partner Network

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-489-3494 - Provider Directory for This Plan: (UPMC Health Options, Inc.)

Deductible: Individual: $3,500 : Family: $7,000
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Silver 21
30
40
50
60
$256.63
$291.28
$327.97
$458.34
$696.49
$513.26
$582.56
$655.94
$916.68
$1,392.98
$709.58
$778.88
$852.26
$1,113.00
$905.90
$975.20
$1,048.58
$1,309.32
$1,102.22
$1,171.52
$1,244.90
$1,505.64
$452.95
$487.60
$524.29
$654.66
$649.27
$683.92
$720.61
$850.98
$845.59
$880.24
$916.93
$1,047.30
$234.30

Plan: (EPO) UPMC Advantage Gold $800/$20 - Partner Network

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-489-3494 - Provider Directory for This Plan: (UPMC Health Options, Inc.)

Deductible: Individual: $800 : Family: $1,600
Out of Pocket Maximum per year: Individual: $5,000 : Family: $10,000

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Gold 21
30
40
50
60
$276.71
$314.07
$353.64
$494.20
$750.99
$553.42
$628.14
$707.28
$988.40
$1,501.98
$765.10
$839.82
$918.96
$1,200.08
$976.78
$1,051.50
$1,130.64
$1,411.76
$1,188.46
$1,263.18
$1,342.32
$1,623.44
$488.39
$525.75
$565.32
$705.88
$700.07
$737.43
$777.00
$917.56
$911.75
$949.11
$988.68
$1,129.24
$252.64

Plan: (EPO) UPMC Advantage Platinum $250/$20 - Partner Network

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-489-3494 - Provider Directory for This Plan: (UPMC Health Options, Inc.)

Deductible: Individual: $250 : Family: $500
Out of Pocket Maximum per year: Individual: $1,500 : Family: $3,000

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Platinum 21
30
40
50
60
$485.94
$551.54
$621.03
$867.89
$1,318.84
$971.88
$1,103.08
$1,242.06
$1,735.78
$2,637.68
$1,343.62
$1,474.82
$1,613.80
$2,107.52
$1,715.36
$1,846.56
$1,985.54
$2,479.26
$2,087.10
$2,218.30
$2,357.28
$2,851.00
$857.68
$923.28
$992.77
$1,239.63
$1,229.42
$1,295.02
$1,364.51
$1,611.37
$1,601.16
$1,666.76
$1,736.25
$1,983.11
$443.66

Plan: (EPO) UPMC Advantage Catastrophic $7,900/$0 - Partner Network

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-489-3494 - Provider Directory for This Plan: (UPMC Health Options, Inc.)

Deductible: Individual: $7,900 : Family: $15,800
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Catastrophic 21
30
40
50
60
$189.10
$214.63
$241.67
$337.73
$513.22
$378.20
$429.26
$483.34
$675.46
$1,026.44
$522.86
$573.92
$628.00
$820.12
$667.52
$718.58
$772.66
$964.78
$812.18
$863.24
$917.32
$1,109.44
$333.76
$359.29
$386.33
$482.39
$478.42
$503.95
$530.99
$627.05
$623.08
$648.61
$675.65
$771.71
$172.65
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Highmark Choice Company

Local: 1-866-777-8641 | Toll Free: 1-866-777-8641

TTY: 1-800-862-0709

Plan: (HMO) my Direct Blue Erie HMO Bronze 4000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-777-8641 - Provider Directory for This Plan: (Highmark Choice Company)

Deductible: Individual: $4,000 : Family: $8,000
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Expanded Bronze 21
30
40
50
60
$195.61
$222.02
$249.99
$349.36
$530.89
$391.22
$444.04
$499.98
$698.72
$1,061.78
$540.86
$593.68
$649.62
$848.36
$690.50
$743.32
$799.26
$998.00
$840.14
$892.96
$948.90
$1,147.64
$345.25
$371.66
$399.63
$499.00
$494.89
$521.30
$549.27
$648.64
$644.53
$670.94
$698.91
$798.28
$178.59

Plan: (HMO) my Direct Blue Erie HMO Bronze 7900

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-777-8641 - Provider Directory for This Plan: (Highmark Choice Company)

Deductible: Individual: $7,900 : Family: $15,800
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Bronze 21
30
40
50
60
$188.21
$213.62
$240.53
$336.14
$510.80
$376.42
$427.24
$481.06
$672.28
$1,021.60
$520.40
$571.22
$625.04
$816.26
$664.38
$715.20
$769.02
$960.24
$808.36
$859.18
$913.00
$1,104.22
$332.19
$357.60
$384.51
$480.12
$476.17
$501.58
$528.49
$624.10
$620.15
$645.56
$672.47
$768.08
$171.84

Plan: (HMO) my Direct Blue Erie HMO Silver 2400 - 2 Free PCP Visits

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-777-8641 - Provider Directory for This Plan: (Highmark Choice Company)

Deductible: Individual: $2,400 : Family: $4,800
Out of Pocket Maximum per year: Individual: $7,800 : Family: $15,600

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Silver 21
30
40
50
60
$282.08
$320.16
$360.50
$503.79
$765.57
$564.16
$640.32
$721.00
$1,007.58
$1,531.14
$779.95
$856.11
$936.79
$1,223.37
$995.74
$1,071.90
$1,152.58
$1,439.16
$1,211.53
$1,287.69
$1,368.37
$1,654.95
$497.87
$535.95
$576.29
$719.58
$713.66
$751.74
$792.08
$935.37
$929.45
$967.53
$1,007.87
$1,151.16
$257.54

Plan: (HMO) my Direct Blue Erie HMO Silver 0

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-777-8641 - Provider Directory for This Plan: (Highmark Choice Company)

Deductible: Individual: $0 : Family: $0
Out of Pocket Maximum per year: Individual: $7,800 : Family: $15,600

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Silver 21
30
40
50
60
$299.97
$340.47
$383.36
$535.75
$814.12
$599.94
$680.94
$766.72
$1,071.50
$1,628.24
$829.42
$910.42
$996.20
$1,300.98
$1,058.90
$1,139.90
$1,225.68
$1,530.46
$1,288.38
$1,369.38
$1,455.16
$1,759.94
$529.45
$569.95
$612.84
$765.23
$758.93
$799.43
$842.32
$994.71
$988.41
$1,028.91
$1,071.80
$1,224.19
$273.87

Plan: (HMO) my Direct Blue Erie HMO Gold 1000 - 2 Free PCP Visits

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-777-8641 - Provider Directory for This Plan: (Highmark Choice Company)

Deductible: Individual: $1,000 : Family: $2,000
Out of Pocket Maximum per year: Individual: $7,000 : Family: $14,000

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Gold 21
30
40
50
60
$285.29
$323.80
$364.60
$509.53
$774.28
$570.58
$647.60
$729.20
$1,019.06
$1,548.56
$788.83
$865.85
$947.45
$1,237.31
$1,007.08
$1,084.10
$1,165.70
$1,455.56
$1,225.33
$1,302.35
$1,383.95
$1,673.81
$503.54
$542.05
$582.85
$727.78
$721.79
$760.30
$801.10
$946.03
$940.04
$978.55
$1,019.35
$1,164.28
$260.47

Plan: (HMO) my Direct Blue Erie HMO Silver 4450 HSA

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-777-8641 - Provider Directory for This Plan: (Highmark Choice Company)

Deductible: Individual: $4,450 : Family: $8,900
Out of Pocket Maximum per year: Individual: $6,650 : Family: $13,300

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Silver 21
30
40
50
60
$268.85
$305.14
$343.59
$480.17
$729.66
$537.70
$610.28
$687.18
$960.34
$1,459.32
$743.37
$815.95
$892.85
$1,166.01
$949.04
$1,021.62
$1,098.52
$1,371.68
$1,154.71
$1,227.29
$1,304.19
$1,577.35
$474.52
$510.81
$549.26
$685.84
$680.19
$716.48
$754.93
$891.51
$885.86
$922.15
$960.60
$1,097.18
$245.46

‡Source: HealthCare.gov has released sample rates for all counties in the 36 states served by HealthCare.gov. We have integrated that data into our tables and provide you that information for Erie County here.

 

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