Heat a pan on medium heat and add a cup of guanciale - cook until brownish
Add 1 tbsp of butter and 0.5 cups of ricotta
Start slowly adding the milk and cheeses. Add all the cheeses in gradually, making sure it melts before adding the next cheese.
Add 1 tsp of dried Italian herbs
Cook the Orecchiette to aldente (depending on the amount of people you're cooking for, the precise amount is very general), pour it into a large baking dish, and cover it with cheese sauce completely
Mix shredded cheddar with breadcrumbs and parmesan to cover macaroni and bake it at 375 F for 30-35 min. Best indicator of it being ready -- the top should be a beautiful golden color.