Thank you both, allow me to clarify ...to make things eaiser, let just assume I input these number manually.

RVU Target - This is the number of RVUs a person should have.
RVUs YTD - Is the actual number they reached, it can be more or less than the target.

My goal is, I want a conditional formatting setup so that any time column B is higher than column D it shows a green check mark and if column B is lower than column D its a red X.

I figured formula from the drop down may help but I have no clue what to enter there. From Fords comment, looks like it may not be possiable

*Thanks Ali for the link but I am still confused