In terms of what they mean, I essentially agree with Trey. A slight point of differing opinion (which may be more stylistic than anything) is that I feel, "Above all else," implies that "all else" is less important, almost disregardable information, whereas, "especially," doesn't really focus on underplaying the other components so much as it does highlight the most important component.
I would like to add, too, that, "Above all else," would be used as a prepositional phrase and, "Especially," is an adverb...