When the automatic scaling options FitToColumns and FitToRows are used, the vertical and horizontal breaks, respectively, should be ignored.

Workaround:

Remove the page breaks if the worksheet uses automatic scaling and restore them if necessary:

        public void ExcelToPdf(string path)
        {
            var provider = new XlsxFormatProvider();
            using (Stream input = File.OpenRead(path))
            {
                var workbook = provider.Import(input);

                this.CachePageBreaks(workbook);

                var pdfProvider = new PdfFormatProvider();
                pdfProvider.ExportSettings = new PdfExportSettings(ExportWhat.EntireWorkbook, false);
                using (Stream output = File.Open(@"C:\Users\velcheva\Desktop\26293903-c650-4d28-adee-58a542651f72_exceltopdf\exported.pdf", FileMode.Create))
                {
                    pdfProvider.Export(workbook, output);
                }

                this.RestorePageBreaks(workbook);
            }
        }

        private Dictionary<Worksheet,List<PageBreak>> verticalPageBreaksCache;

        private void CachePageBreaks(Workbook workbook)
        {
            this.verticalPageBreaksCache = new Dictionary<Worksheet, List<PageBreak>>();

            foreach (Worksheet worksheet in workbook.Worksheets)
            {
                WorksheetPageSetup pageSetup = worksheet.WorksheetPageSetup;

                if (pageSetup.FitToPages)
                {
                    this.verticalPageBreaksCache[worksheet] = new List<PageBreak>(pageSetup.PageBreaks.VerticalPageBreaks);
                    
                    if(pageSetup.FitToPagesWide != 0)
                    {
                        List<PageBreak> breaksToRemove = new List<PageBreak>();
                        breaksToRemove.AddRange(pageSetup.PageBreaks.VerticalPageBreaks);

                        breaksToRemove.ForEach((br) => pageSetup.PageBreaks.TryRemoveVerticalPageBreak(0, br.Index));
                    }

                    // Record the horizontal page breaks if necessary.
                }
            }
        }

        private void RestorePageBreaks(Workbook workbook)
        {
            foreach (Worksheet worksheet in workbook.Worksheets)
            {
                WorksheetPageSetup pageSetup = worksheet.WorksheetPageSetup;

                if (pageSetup.FitToPages)
                {
                    List<PageBreak> cachedbreaks = this.verticalPageBreaksCache[worksheet];

                    if (pageSetup.FitToPagesWide != 0)
                    {
                        foreach (var pageBreak in cachedbreaks)
                        {
                            pageSetup.PageBreaks.TryInsertVerticalPageBreak(0, pageBreak.Index);
                        }
                    }

                    // Restore the horizontal page breaks if necessary.
                }
            }
        }