This document discusses why the most established and reputable medical institutions, professionals and service companies tend to be more expensive. It notes that when facing a serious medical issue, people seek out the most skilled doctors at the best hospitals, even though they are more costly. Similarly, people tend to trust long-established realtors, banks, brokers, insurers and HVAC companies like the one discussed over newer options. The document then provides examples of why such reputable companies must charge higher prices, such as offering better service through well-trained employees, 24/7 availability and faster response times. It also notes that low-cost providers often do not have sustainable business models and may not be around long-term to service future needs