The cheaper Standard Two Tier Algorithm(STTA) is based on ELISA-test and Blot-test.
The STTA is prone to false negatives. ("Limitations and Confusing Aspects of Diagnostic Testing for Neurologic Lyme Disease in the United States" Ref: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6322465/ )
Under Our Skin: The Untold Story of Lyme Disease is a 2008 film advocating for the existence of "chronic Lyme disease", a controversial and unrecognized diagnosis. The film was directed by Andy Abrahams Wilson, who became interested in the subject after his sister identified as a "chronic Lyme" patient. The film had its theatrical premiere on June 19, 2009 at the IFC Center in New York City.