Really, step 1 and 2 scores serve as a cut off for interviews. Once at the interview, the score matters a whole lot less. I had a 232 and a 234 on steps 1 and 2 respectively, applied to 27 interviews (from a program with a strong anesthesia program) and got 24 interviews. Only three that didn't interview me were MGH and B&W (I did interview at BIDMC) and Einstein (strangely weird given my invites from cornell, columbia, nyc, etc). Otherwise, I got interviews everywhere else I applied to include the top NYC programs and every other program I wanted from south(Wake, Duke, Vandy, UAB) and abroad (WashU, hopkins, etc).
Step scores are not the end all be all, they just start the conversation.
It really is about the total package. The scores matter for getting interviews. Just work on the rest of your application. You would not believe how much your letters of recommendation and the actual interview (though usually low stress) matters. Programs want people they WANT to work with for four years.