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Shotgun approach top 20, you've already got your state school + your IS schools, round it out with 4-6 mid tiers + your home institution, and you're good to go.
If you want it broken down more, here you go.
Apply to 14-16 of these:
Harvard, Stanford, Hopkins, Penn, UCSF, WashU, Columbia, Yale, Duke, Michigan, Chicago-Pritzker, Vanderbilt, Pitt, Northwestern, NYU, Case Western, Mt. Sinai, Cornell
Apply 4-6 of these:
Hofstra (definitely), USC-Keck (definitely), Emory, UVA, Ohio State, SLU, Miami, Rochester, Einstein
I say definitely for Hofstra and Keck because they really like Ivy Leaguers.
Apply to your state school:
UMass - you got it
Apply to your UG's med school (unless it's Princeton for obvious reasons, but if it's Princeton, you're at this point nearly guaranteed a top 20 acceptance anyway).
Don't apply to Dartmouth unless you are a Dartmouth undergrad; same goes for Brown.
As for UCs, definitely apply to UCSF. If you really want to, apply to UCLA. The other ones are incredibly low yield for non-CA students.
Not worth applying to Vermont or Georgetown - they will be very low yield for you.
I wouldn't have recommended BU, Tufts, or NYMC, but since you already applied, just roll with it.
Don't try to classify schools based on reach/safety/match/whatever. It doesn't really work that way. Apply to schools where your application fits the profile based on your undergrad, stats, research and service profiles, and state of residence. If you follow my plan here, you'll be totally fine.