ΔE 24.4, loose: different enough that you should pick on purpose. Medium Blue is noticeably darker, much more muted than Cygnar Blue Highlight.
Not as a straight swap; see the closer alternatives below. Loose match (ΔE 24). Medium Blue is noticeably darker, much more muted than Cygnar Blue Highlight.
The same difference applies the other way round: Cygnar Blue Highlight is noticeably lighter, much more saturated.
ΔE is the colour difference between our two swatch estimates: under about 6 is close, over about 15 is loose. Real paints also differ in finish, coverage and how they thin, so test before you commit.
See Cygnar Blue Highlight on the colour wheel See Medium Blue on the colour wheel
All matches: Cygnar Blue Highlight equivalents · Medium Blue equivalents