I ended up solving this by creating a dictionary object with the key being the email address and the value as the filepath:
private Dictionary<string, string> signatureDictionary()
        {
            string sigDataDir = Environment.GetFolderPath(Environment.SpecialFolder.ApplicationData) + @"\Microsoft\Signatures";
            Dictionary<string, string> returnValue = new Dictionary<string,string>();
            Microsoft.Win32.RegistryKey key = Microsoft.Win32.Registry.CurrentUser.OpenSubKey(@"Software\Microsoft\Windows NT\CurrentVersion\Windows Messaging Subsystem\Profiles\Outlook\9375CFF0413111d3B88A00104B2A6676", false);
            string[] str = key.GetSubKeyNames();
            foreach (string s in str)
            {
                Microsoft.Win32.RegistryKey subKey = key.OpenSubKey(s, false);
                if (subKey.GetValue("New Signature") != null)
                {
                    returnValue.Add(System.Text.Encoding.Unicode.GetString(subKey.GetValue("Account Name") as 
                        Byte[],0,(subKey.GetValue("Account Name") as Byte[]).Length - 2)
                        , Path.Combine(sigDataDir,System.Text.Encoding.Unicode.GetString(
                        subKey.GetValue("New Signature") as Byte[], 0, (subKey.GetValue("New Signature") as
                        Byte[]).Length - 2) + @".rtf"));
                }
            }
            key.Close();
            return returnValue;
        }
This answer to a similar question initially pointed me in the right direction, and figuring out that the "New Signature" key is only populated when a signature has been set for that account.  Undoubtedly there will be situations where this doesn't work, but it sorts it out for my current issue.  Since I use the WordEditor when I'm editing emails in VSTO I use the RTF files in this function, but there are also .HTM and .TXT files in the same directory so you can use those if you prefer.