By Kate Gibson and Victor Reklaitis, MarketWatch

NEW YORK (MarketWatch) -- U.S. stocks were mildly higher on Tuesday as investors mostly adapted a cautious tone a day ahead of a monetary-policy decision from the Federal Reserve.

Of the 304 companies that have reported earnings results for the second quarter, 201 have beaten estimates, 76 have missed, and 27 have met, producing a a beat rate of 66%, above the historical average, according to emailed research by Christine Short, an associate director S&P Capital IQ.

"Earnings so far are better than expected, but we haven't seen much in the way of revenue figures," said Robert Pavlik, chief market strategist at Banyan Partners LLC.

After a 72-point gain and a 43-point drop, the Dow Jones Industrial Average (DJI) was lately up 21.12 points, or 0.2%, at 15,543.09

Pfizer Inc. (PFE) rose 0.6% after the drug maker and Dow component posted second-quarter results.

The S&P 500 index (SPX) advanced 2.96 points, or 0.2%, to 1,688.29, with technology leading sector gains and telecommunications falling hardest.

After rising to a 12-year high, the Nasdaq Composite (RIXF) climbed 20.29 points, or 0.6%, to 3,619.42.

Advancers pulled just ahead of decliners on the New York Stock Exchange, where 458 million shares traded as of 3:35 p.m. Composite volume cleared 2.7 billion.

On Monday, composite volume on the Nyse came in just under 2.8 billion, the seventh lowest volume day so far this year.

"People are a little skeptical here, there's a pattern that is raising questions for the overall market, whether we can continue the trend of gains without any kind of give back," said Pavlik, referring to a market that is up 18% for the year.

The dollar (DXY) gained against the currencies of major U.S. trading partners and the yield on the benchmark 10-year note (10_YEAR) fell 1 basis point to 2.600%.

Oil futures (CLU3) dropped $1.47, or 1.4%, to $103.08 a barrel and gold prices (GCZ3) declined $4.80, or 0.4%, to $1,325.80 an ounce on the New York Mercantile Exchange.

Community Heath Systems Inc. (CYH) fell 4% after the for-profit hospital operator said it would buy competitor Health Management Associates Inc. (HMA) for $3.9 billion. Shares of Health Management Associates slid 11% after the company said it had received more subpoenas from regulators seeking information about its doctor relationships and some of its emergency-room operations.

J.P. Morgan Chase & Co. (JPM) agreed to pay a $285 million penalty and disgorge $125 million to settle allegations of energy-market manipulation in California and the Midwest. Shares of the Dow component were off 0.5%.

Sprint Corp. (S) rose 6.6% after the telecommunications firm posted a larger quarterly loss but revenue expanded as consumers spent more on mobile services.

Facebook Inc. (FB) gained 6.4% after the social-networking company announced the launch of a mobile-games unit.

Pitney Bowes Inc. (PBI) jumped 14% after the supplier of postal meters and other equipment reached an agreement to sell its management-services unit to Apollo Global Management LLC (APO) for about $400 million.

Goodyear Tire & Rubber Co. (GT) jumped 8.7% after its second-quarter earnings beat expectations.

Aetna Inc. (AET) shares held flat and Eastman Chemical Co. (EMN) shares rallied 7.2% after both companies reported quarterly earnings that surpassed expectations.

Coach Inc. (COH) retreated 8.5% after the maker of luxury handbags reported a drop in fiscal fourth-quarter profit.

Shares of Mosaic Co. (MOS) declined 18% as the company and other fertilizer manufacturers were hit by price concerns that came with a dissolving partnership among the top potash producers.

The Federal Open Market Committee on Tuesday began a two-day session, with the central bank likely to hold its benchmark interest rate at 0.25%. Many strategists believe the central bank will begin curbing its monthly bond purchases in September.

Tuesday economic reports had the S&P/Case-Shiller index of property values rising 12.2% from May 2012 to last month, its largest 12-month rise in more than 13 years, showing continuing improvement in residential real estate.

Separately, the Conference Board's consumer-confidence index fell to 80.3 in July from an upwardly revised five-year high of 82.1 the prior month.

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