Peer-assisted content distribution matches user demand for content with available supply at other peers in the network. Inspired by this supply-and-demand interpretation of the nature of content sharing, we employ price theory to study peer-assisted content distribution. In this approach, the market-clearing prices are those which exactly align supply and demand, and the system is studied through the characterization of price equilibria. In this talk, we rigorously analyze the efficiency and robustness of price-based multilateral exchange. We compare and contrast multilateral content exchange with bilateral exchanges such as BitTorrent. Bilateral barter-based systems such as BitTorrent have been attractive in large part because of their simplicity; however, little attention has been devoted to studying whether efficiency and robustness has been lost in return for this simplicity. Our research takes a step towards filling this gap.