I'm about 15 minutes from you, but I'm not aware of any other options than Verizon or Comcast; they're competitors but sometimes it feels like they're one big monopoly. Right now I have DSL w/ verizon, and Comcast for (way overpriced) cableTV. Our cable TV drops out and glitches a lot, and Verizon will never deliver FIOS in my town. I suppose it could be worse though.
Now that I think back, those others might just be resellers or something.