When I moved in with the wife, they had satellite, DirecTV I think. AT&T also offered coverage, as did two or three other groups. I liked Roadrunner, and I changed the house over to it. It was a lot faster and more reliable and the additional cost was minimal, if any. It seems like a competitive market to me.
I don't have choice now of course, it's DirecTV and it seems to be decent.
The street outside is "Fixed". They put two metal plates over the hole with some asphalt to ease the transition. I'm sort of impressed they finished it last night.
I see separately trucks putting in "cable" all over which is presume is fiber optic. It's usually an orange "cable" that comes on hoops. We are supposed to get a 3.3x speed upgrade here shortly, we're told. I don't know if that is related.