Byzantine Benediction Cross (1200–1400) - Catholic Stock Photo

A blessing cross is a hand cross held by a priest or bishop in Eastern Christianity when he gives a benediction. It is often made of precious metal and may be adorned with enamelwork, and precious or semi-precious gemstones. The cross may also have other icons on it, such as the Theotokos (Mother of God), John the Baptist, the Four Evangelists or Prophets. Source

This cross is decorated with images of Christ Pantokrator (Ruler of the World) on the front and the Virgin Orans (Virgin Praying) on the back. Source