Stocks have pulled back for four days in a row now, and investors and traders alike are looking at which stocks they ought to buy, sell or avoid. 24/7 Wall St. reviews literally dozens of Wall Street analyst research reports each morning. The aim is to find fresh ideas for investors and traders. Some of these ideas are stocks to buy and others turn out to be stocks to sell. These are this Wednesday’s top analyst upgrades, downgrades and initiations seen from Wall Street research firms.

CarMax Inc. (NYSE: KMX) was downgraded to Neutral from Buy at Goldman Sachs.

Carnival Corp. (NYSE: CCL) was downgraded to Underweight from Equal Weight at Morgan Stanley. The cruise line operator also was downgraded to Neutral from Buy at Bank of America Merrill Lynch.

Cash America International Inc. (NYSE: CSH) was raised to Neutral from Underperform and its price target was increased to $40 from $38 by Sterne Agee.

CME Group Inc. (NASDAQ: CME) was raised to Outperform from Market Perform at Keefe Bruyette & Woods.

Cypress Semiconductor Corp. (NASDAQ: CY) was maintained as Buy, but earnings estimates were cut and the price target was cut to $13 from $15, by Sterne Agee. Wedbush downgraded it to Neutral from Buy after the warning.

Dollar Tree Inc. (NASDAQ: DLTR) was maintained as a Buy but was removed from the prized Conviction Buy list at Goldman Sachs.

Duke Energy Corp. (NYSE: DUK) was raised to Buy from Hold with a $79 price target at Argus.

Facebook Inc. (NASDAQ: FB) was started as Buy with a $60 price target that matches the street-high target by Canaccord Genuity.

Financial Institutions Inc. (NASDAQ: FISI) was started as Buy with a $24 price target by Sterne Agee.

Ross Stores Inc. (NASDAQ: ROST) was reiterated as Buy and added to the prized Conviction Buy list at Goldman Sachs.

Ahead of Obamacare implementation, J.P. Morgan has issued a selective favorable outlook in health care stocks.

Here are some of the top companies presenting at the Goldman Sachs Communacopia Conference.

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