What is this 1916 medal?

[TJLA]

 

I believe this is a Russian Orthodox religious or friendship medal commemorating the appointing of the Metropolis in 1649 in Russia. But since I cannot read/write cyrillic I'm stumped as to what it is. 

There's an American flag in there and looks like a Russian one as well.

 

Anyone can help decipher it? Thanks in advance.

[Alex .]

Medal issued by the Aleutian and North American Diocese of the Russian Orthodox Church "In memory of the 25th anniversary of the first reunion of the Carpatho-Rusyns with the Russian Orthodox Church", 1916.

Edited November 25, 2019 by Alex .

[TJLA]

Thanks Alex, this is very interesting. Any thoughts on where or who issued this? 

[Alex .]

It's made in USA. Not sure about the manufacturer.