Septimius Severus AE18 of Hyrkanis, Lydia. AD 193-211.

AY KA LOY C CEOYHROC, laureate head right.
YRKANWN, Asklepios standing front, head left, leaning on serpent-entwined staff.

SNG Cop 212 (this coin). 
The image in SNG Cop is poor, but it does appear to have a Y at top left of the obverse.