How to Reach $150k in IT?

I want to eventually reach $150k/year in my IT career, but I'm really lost on a path to get there. I've been in IT for about 5 years (mostly helpdesk/field support) and I'm now a "Managed Services Engineer (managing DR and backup products mostly)," which is essentially a T4 at my company, making $79,050. I have a few CompTIA certs and CCNA. I know this change won't happen overnight, but I want to work towards that goal.

I understand that my best paths to that salary are (1) management or (2) specialize. However, how should I go about either of those? I'd love a management path, but now do you break into that from where I am? If I choose to specialize, how can I decide which direction to take? Are there certs to pursue? How can I gain concrete skills in that specialty when I need skills to get the jobs or money to build labs/etc.? (We all know certs really don't provide experience).