I've had a similar debate of private school with slightly better match vs cheaper SUNY school as a NY resident. I decided SUNY because:
1) P/F through pre-clinical years. Especially with Step 1 P/F, I think residencies may look at anything else they can (such as pre-clinical grades if available). I think Rochester has honors still in pre-clinical years, so if you wanted a competitive residency, there may be some extra pressure to be at the top of the class in pre clinical years. Although this could be your chance to differentiate yourself too.
2) Lectures. I'm would study best with recorded lectures I can go back to watch at my own pace. I would still attend many, but I would want to re-review them at times. The school I declined had recorded lectures but only available for a limited time, and I don't think Rochester records them at all. Waking up to make it to an 8am lecture every day that I could not go back and review later would be tough for me.
3) Helpfulness of staff/students. My experience with staff at a few different SUNY schools (including Buffalo - currently waitlisted) has been super outgoing and helpful. Tour guides at Buffalo, Upstate, and Stony Brook all pulled aside members of the class to ask how they are doing and talk for a few minutes, and most people seem to be really happy. People have also offered visions for my involvement in their research and global health projects, and other ways I could be involved. I can't speak to Rochester on this one, but all of the SUNY schools just felt super friendly and collaborative to me, and gave me a vision of how I would belong and be cared for. I think this had extra weight for me without 2nd looks lol.
Money is definitely a consideration, as well as closeness of support group and living in a small city vs suburb.
From friends at Rochester (who are quite happy there), I have also heard there isn't much interaction between the different class years. As someone without a medical family background, one of the things I looked for was lots of collaboration between years to help show me what to do (and what not to do). I feel like this will make it easier for me down the road so I don't miss anything early on.
Anyways that's all I've got. There are no wrong answers for you here, either place would be incredible, so best of luck!