You have not told us how old you and recent PSA results and 4k scores Unfortunately if you are in your sixties it is likely cancer.
All my tests came back borderline and my doctor wanted to go strait to biopsy which cost $12k. I got a 3 tesla MRI for $750 and it confirmed there were tumors.
They started me on Lupron and it was worse than the cancer. I had no energy could not walk, mentally confused, some days in the morning I could not get out of bed without holding on to the furniture. Do a net search Lupron ruined my life.
I had 20 proton beam treatments and it took me over 2 years to get back to normal. Why even do a biopsy without 4K scores it is just a more advanced blood test. Now they can do 5 session MRI guided proton treatments. There is also some new ultrasound treatment method.

I am not a doctor but found that mine had no idea what she was talking about. I think you will be fine good luck.