Difference is in fees and licenses. Payment processors that process high risk payments (adult industry, gambling, etc...) have higher fees and need license from governing body (usually a national bank in country where the payment processor is registered). So if you process high risk payments as low risk you will get a fine from governing body and you risk to lose your license. And if you don't have a license for high risk payments you cannot process them.
I don't work there anymore, but I heard they lost SEPA license a couple of years ago because of risky transactions.
Now I am not sure if Visa and Master are forcing payment providers to give up high risk transactions or if they are forcing them to classify all transactions as low/high risk.