Why have a high leg? What was the original intention of the design?
Think evolution. First, there was the battery... J/K
Imagine you have your every-day, run-of-the-mill 120/240v service in your, let's say, mill. You have motors, lights, etc., the usual stuff. You're running at full capacity, but could handle more business if you had a super-mill machine.
One day, you're reading the latest issue of Mill Digest, and you see an ad for a new-fangled super-mill machine, but it requires a 3-phase supply. Gee, how to get the power into your mill?
The simplest thing to do is add one more 240v utility transformer (but with no (or a non-bonded) center tap) to the existing one on the pole, and power it from one of the other primary phases.
Just bring one more conductor with the existing service drop, run it through a new meter (or add a CT), and you now have a 3-phase service. You can replace the existing panel, or add a 3-ph disconnect.
This will give you an open delta (which is very common in many older parts of Richmond), which is commonly done when the 3-ph load is a relatively small portion of the total load.
A friend of mine grew up in a house that was fed with the usual 3-wire service drop, with a fourth conductor (#10, I believe) alongside the three, which supplied only the central-AC compressor.
Almost nobody would specify a high-leg service unless it was to accomodate existing equipment, or vice versa. I've done several new services which had, and kept, the high-leg service, and saved $'s.