However, I recently noticed that if I go to export and select highest quality instead, the exported file is about 10 times larger than the unmodified original version. Any idea what might be causing this? And does it necessarily indicate a different in photo quality?
An unmodified original is the image as downloaded from your camera. But to understand what's going on you need to understand that jpeg (or HEIC) are not image formats. They're actually compression formats. So what's happening is your camera takes an image, puts it in a file and the compresses the file. Result: A HEIC or Jpeg. When you view the file it is decompressed.
When you export a file though, what happens is Photos creates a new file and puts the image into it... and then compresses it into a HEIC or Jpeg. You get bigger file sizes because Photos is applying less compression than your camera did. It's the same image. It's not sharper, it's not more colourful or anything else, it's just the same image with less compression.
Where this might be useful is when you edit subsequently. The higher the quality the exported file (or the less compressed it is) then the more you will be able to edit it before you see a degradation of quality in the image.