Dropping level down from +4dBu balanced to -10dBV unbalanced can be done passively with a transformer. Bringing level back up and being able to "drive a wire" or drive signal into the next device (possibly a "+4" 600 ohm device) will require a line amplifier.
Level sifter boxes made to interface unbalance consumer cassette decks etc. into a +4dBu balanced recording studio environment will also work for this, BUT, the vast majority of these are transformerless. Transformerless level shifters work fine for the transition from +4 balanced to -10 unbalanced. Actively balanced (or differential) input amplifiers can work with balanced and unbalanced sources fairly seamlessly. The problem comes in with the transition from -10 unbalanced to balanced +4. Active balanced output amplifiers, no matter how they are designed to correct for level when driving unbalanced loads, will drive some signal into your ground when they are used to drive an unbalanced load... i.e. the insert returns on the majority of consoles made.
If every input to every device in your studio is balanced then active balanced outputs on level shifters and other gear are fine... this is rarely the case.
The solution I came up with, since I have these more or less laying around anyway, are things like 10k:600 input transformers to balance and level shift down to -10 devices and line amplifiers like api 325 cards in a card frame or some Neve BA183 / LO1166 line amplifiers mounted in a box (Purple made a batch of 16 channel motherboards to hold BA183/283 boards for making DA's and adding direct outs to things like Kelso's)... to bring the level back up and balance it. These items go on to patch to be inserted as needed. Adding these to every device that could use them can get expensive and they are not always needed anyway. Other items that are useful are 1:1 600:600 transformers set up as phase reverses, passive phase reverses, passive mults, summing networks, distribution amplifiers, some stepped attenuators and other useful things... sort of a tool belt on patch.
For your application you could look for a level shifter box that has transformer balanced outs. ATI (Audio Techologies, Inc. NOT Audio Toys, Inc.)
http://www.atiguys.com/used to make level shifter boxes that had transformer balanced outs...