It is a single ended output, see just one "OUT" pin, even if they don't explicitly say so. If it were a differential output, there would be an "OUT+" and an "OUT-" pin.
What they have shown is their recommended way to connect to a differential-input amplifier, and to be honest I'm not completely happy with how they show that (there seem to be a lot of unstated assumptions).
I am surprised they didn't show, instead or as well, a simpler recommended connection to a single-ended-input amplifier... like a series DC blocking capacitor going to a the input of an amplifier, pulled to (the amp's) mid-rail by a high value resistor. Signal ground would be shared between the MEMS and the amplifier.