The suit claimed that UPMC and Highmark had conspired to create a monopoly, saying, among other things, that UPMC had refused to contract with smaller health insurance companies at reasonable rates and in exchange, Highmark had agreed to pay UPMC at inflated rates.
UPMC and Highmark had conspired to create a monopoly. This was what the suit claimed. This was what Highmark had agreed to pay UPMC at inflated rates. UPMC had refused to contract with smaller health insurance companies at reasonable rates and in exchange. This was what a monopoly was saying, among other things.