I have an Audio Technica AT150MLX. I like it a lot. Although I haven't been able to compare a Rega Exact side-by-side with the AT150MLX, I have heard the Exact in a local show room and then drove home to immediately listen to my rig. Under those not-very-controlled conditions, I come away feeling that the AT150MLX is at least as good as the Exact and a healthy notch up from the Exact. And really, if the Exact was significantly better, the sound of my rig would have left me wanting, but it didn't.
The cartridge body of the AT150MLX is cast or extruded aluminum and is very rigid. The stylus assembly is substantial, rigid, and a very tight fit with the cartridge body. Best of all, the last time I checked, the replacement stylus for the AT150MLX is $179.95.